Individual provider Active NPI

Yanaydis Garcia Pajan

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1124517453
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-40793 Issued in FL
Practice address
230 NW 109TH Ave Apt 104
Miami, FL 33172-5254
Phone
(786) 458-5711
NPI assigned
May 2, 2018
Reactivated
Dec 17, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 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 Analyst 103K00000X 1-20-40793 FL Primary

Addresses

Primary practice location

230 NW 109TH Ave Apt 104
Miami, FL 33172-5254

Mailing address

10763 SW 7 Street
Apt 2
Miami, FL 33174

Other identifiers 1

IdentifierTypeStateIssuer
020847500MedicaidFL

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

Practice roles

OrganizationSpecialtyStatusNew patients
Early Dreamers Inc Behavior Analyst Current Accepting new patients
Munay Therapy Services Inc Behavior Analyst Current Accepting new patients

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": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1124517453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10763 SW 7 STREET",
            "address_2": "APT 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 NW 109TH AVE APT 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331725254",
            "telephone_number": "786-458-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA PAJAN",
        "first_name": "YANAYDIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "deactivation_date": "2024-09-26",
        "reactivation_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-20-40793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020847500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "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 Dec 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.