Yudelkis Dominguez Chavez, RBT-20-127599

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-127599 Issued in FL

Practice address

1332 NE 20TH Ave
Cape Coral, FL 33909-1602

Phone

(786) 731-1505

NPI assigned

Jun 10, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1154051431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 NE 20TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339091602",
            "telephone_number": "786-731-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 NE 20TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339091602",
            "telephone_number": "786-731-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ CHAVEZ",
        "first_name": "YUDELKIS",
        "credential": "RBT-20-127599",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-127599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.