Individual provider Active NPI

Yeneht Socarras

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1114417482
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-66068 Issued in FL
Practice address
13898 SW 90TH Ave Apt Ee103
Miami, FL 33176-6991
Phone
(786) 217-8650
NPI assigned
May 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-17-41626 FL
Behavior Analyst 103K00000X 1-23-66068 FL Primary

Addresses

Primary practice location

13898 SW 90TH Ave Apt Ee103
Miami, FL 33176-6991

Mailing address

13898 SW 90TH Ave Apt Ee103
Miami, FL 33176-6991
Phone (786) 217-8650

Other identifiers 1

IdentifierTypeStateIssuer
021728600MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL miami

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
RBT-17-41626FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1526169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1114417482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13898 SW 90TH AVE APT EE103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331766991",
            "telephone_number": "786-217-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13898 SW 90TH AVE APT EE103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331766991",
            "telephone_number": "786-217-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCARRAS",
        "first_name": "YENEHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-13",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-17-41626",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-66068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021728600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "miami",
            "affiliation": "N",
            "address_1": "13898 SW 90th Ave Apt Ee103",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331766991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.