Individual provider Active NPI

Yadriel Chavez del Rio

  • Behavior Technician
  • Naples, FL
National Provider Identifier
1114765682
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
24319828 Issued in FL
Practice address
3201 Tamiami TRL N Ste 128
Naples, FL 34103-4135
Phone
(800) 961-3367
NPI assigned
Jul 18, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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 24319828 FL Primary

Addresses

Primary practice location

3201 Tamiami TRL N Ste 128
Naples, FL 34103-4135

Mailing address

3201 Tamiami TRL N Ste 128
Naples, FL 34103-4135
Phone (800) 961-3367

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
24319828FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Kidz LLC CurrentSince Jul 21, 2024 Accepting new patients
Memoreable Behavior Technician CurrentSince Jul 21, 2024 Accepting new patients

Locations

3201 Tamiami Trl N
Ste 128
Naples, FL 34103
Phone (800) 961-3367

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1114765682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 TAMIAMI TRL N STE 128",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341034135",
            "telephone_number": "800-961-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 TAMIAMI TRL N STE 128",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341034135",
            "telephone_number": "800-961-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ DEL RIO",
        "first_name": "YADRIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "24319828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.