Individual provider Active NPI

Yadelkis Lavandera Diaz

  • Behavior Technician
  • Miami Lakes, FL
National Provider Identifier
1184447112
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-390624 Issued in FL
Practice address
6625 Miami Lakes Dr Ste 246
Miami Lakes, FL 33014-2768
Phone
(305) 777-3866
NPI assigned
Nov 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 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 RBT-24-390624 FL Primary

Addresses

Primary practice location

6625 Miami Lakes Dr Ste 246
Miami Lakes, FL 33014-2768

Mailing address

4520 SW 115TH Ave
Miami, FL 33165-5528
Phone (786) 443-6896

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
RBT-24-390624FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Yoselin Therapy LLC CurrentSince Jan 12, 2025 Accepting new patients

Locations

6625 Miami Lakes Dr
Ste 246
Miami Lakes, FL 33014
Phone (305) 777-3866

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1184447112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 SW 115TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331655528",
            "telephone_number": "786-443-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 MIAMI LAKES DR STE 246",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142768",
            "telephone_number": "305-777-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVANDERA DIAZ",
        "first_name": "YADELKIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-390624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.