Individual provider Active NPI

Yanneri Iglesias Manchon

  • Assistant Behavior Analyst
  • Cape Coral, FL
National Provider Identifier
1255061388
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-26-17214 Issued in FL
Practice address
1903 SW 12TH LN
Cape Coral, FL 33991-2309
Phone
(239) 321-2577
NPI assigned
Jun 13, 2022
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-26-17214 FL Primary

Addresses

Primary practice location

1903 SW 12TH LN
Cape Coral, FL 33991-2309

Mailing address

1903 SW 12TH LN
Cape Coral, FL 33991-2309
Phone (239) 321-2577

Other practice location 1

1408 SE 17th Ave Ste E
Cape Coral, FL 33990-3801
Phone (239) 205-6766

Other practice location 2

8140 College Pkwy Ste 107
Fort Myers, FL 33919-4111
Phone (239) 360-7967

Other identifiers 1

IdentifierTypeStateIssuer
114287600MedicaidFL

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": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1255061388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 SW 12TH LN",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339912309",
            "telephone_number": "239-321-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 SW 12TH LN",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339912309",
            "telephone_number": "239-321-2577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1408 SE 17th Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339903801",
            "country_code": "US",
            "telephone_number": "239-205-6766",
            "fax_number": "239-205-6367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8140 College Pkwy Ste 107",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339194111",
            "country_code": "US",
            "telephone_number": "239-360-7967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IGLESIAS MANCHON",
        "first_name": "YANNERI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-26-17214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114287600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.