Individual provider Active NPI

Yadira Ruiz Felipe

  • Behavior Technician
  • Hialeah, FL
National Provider Identifier
1104492883
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB659651 Issued in FL
Practice address
827 SE 9TH Ave Apt 2a
Hialeah, FL 33010-5742
Phone
(305) 244-8456
NPI assigned
Jun 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BACB659651 FL Primary

Addresses

Primary practice location

827 SE 9TH Ave Apt 2a
Hialeah, FL 33010-5742

Mailing address

827 SE 9TH Ave Apt 2a
Hialeah, FL 33010-5742
Phone (305) 244-8456

Other identifiers 1

IdentifierTypeStateIssuer
BACB659651MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BACB659651FLMDBehavior Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1104492883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 SE 9TH AVE APT 2A",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105742",
            "telephone_number": "305-244-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 SE 9TH AVE APT 2A",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105742",
            "telephone_number": "305-244-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ FELIPE",
        "first_name": "YADIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB659651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BACB659651",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.