Individual provider Active NPI

Yarianne Camila Direntau Avila

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1295572410
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-353160 Issued in FL
Practice address
20774 W Dixie Hwy Unit B
Miami, FL 33180-1146
Phone
(305) 549-8665
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 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-24-353160 FL Primary

Addresses

Primary practice location

20774 W Dixie Hwy Unit B
Miami, FL 33180-1146

Mailing address

6477 SW 128TH CT
Miami, FL 33183-5650
Phone (786) 689-2985

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-24-353160FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Eberth'S Behavioral Group, LLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

20774 W Dixie Hwy
Unit B
Miami, FL 33180
Phone (305) 549-8665

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": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1295572410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6477 SW 128TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331835650",
            "telephone_number": "786-689-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20774 W DIXIE HWY UNIT B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801146",
            "telephone_number": "305-549-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRENTAU AVILA",
        "first_name": "YARIANNE",
        "middle_name": "CAMILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-353160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.