Active NPI
Yelena Viton Mederos
- Behavior Technician
- Cape Coral, FL
National Provider Identifier
1114764818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 24335565
- Practice address
- 1722 NE 2ND PL
Cape Coral, FL 33909-9212 - Phone
- (786) 260-4314
- NPI assigned
- Jul 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 24335565 | FL | Primary |
Addresses
Primary practice location
1722 NE 2ND PL
Cape Coral, FL 33909-9212
Mailing address
1722 NE 2ND PL
Cape Coral, FL 33909-9212
Phone (786) 260-4314
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24335565 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1114764818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1722 NE 2ND PL",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339099212",
"telephone_number": "786-260-4314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1722 NE 2ND PL",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339099212",
"telephone_number": "786-260-4314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITON MEDEROS",
"first_name": "YELENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-10",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "24335565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.