Individual provider Active NPI

Yeimis Cruz Foyedo

  • Behavior Analyst
  • Tampa, FL
National Provider Identifier
1174080196
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
7023 N Coolidge Ave
Tampa, FL 33614-3128
Phone
(786) 320-3698
NPI assigned
Feb 26, 2019
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 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 Primary

Addresses

Primary practice location

7023 N Coolidge Ave
Tampa, FL 33614-3128

Mailing address

7023 N Coolidge Ave
Tampa, FL 33614-3128
Phone (786) 320-3698

Other practice location 1

7218 N Lois Ave
Tampa, FL 33614-3161
Phone (813) 399-1396

Other identifiers 1

IdentifierTypeStateIssuer
017605500MedicaidFL

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
Abc Behavioral Services Corp Behavior Analyst CurrentSince Jan 12, 2020 Accepting new patients

Locations

8910 N Dale Mabry Hwy
Ste 38
Tampa, FL 33614
Phone (813) 399-1396

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1174080196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7023 N COOLIDGE AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143128",
            "telephone_number": "786-320-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7023 N COOLIDGE AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143128",
            "telephone_number": "786-320-3698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7218 N Lois Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336143161",
            "country_code": "US",
            "telephone_number": "813-399-1396",
            "fax_number": "813-773-6569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ FOYEDO",
        "first_name": "YEIMIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017605500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.