Active NPI
Yissel Perez Castro, BCBA
- Behavior Analyst
- Homestead, FL
National Provider Identifier
1124556121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-47215
- Practice address
- 654 NE 9TH PL
Homestead, FL 33030-4934 - Phone
- (305) 248-3488
- NPI assigned
- Jun 2, 2017
- Sex
- Female
- Sole proprietor
- No
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 Analyst | 103K00000X | 1-21-47215 | FL | Primary |
Addresses
Primary practice location
654 NE 9TH PL
Homestead, FL 33030-4934
Mailing address
7641 NW 182ND Ter
Hialeah, FL 33015-2942
Phone (561) 502-5914
Other practice location 1
7641 NW 182nd Ter
Hialeah, FL 33015-2942
Phone (561) 502-5914
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021813900 | Medicaid | FL | |
| 1-21-47215 | Other | FL | BEHAVIOR ANALYST CERTIFICATION BOARD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1124556121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7641 NW 182ND TER",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330152942",
"telephone_number": "561-502-5914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "654 NE 9TH PL",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330304934",
"telephone_number": "305-248-3488"
}
],
"practiceLocations": [
{
"address_1": "7641 NW 182nd Ter",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330152942",
"country_code": "US",
"telephone_number": "561-502-5914",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ CASTRO",
"first_name": "YISSEL",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-02",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-21-47215",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021813900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
"identifier": "1-21-47215",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.