Individual provider Active NPI

Yadira Prende Alvarez, RBT 1053987

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1306652953
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1053987 Issued in FL
Practice address
11855 SW 216TH St Apt 610
Miami, FL 33170-2952
Phone
(786) 794-5252
NPI assigned
Dec 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 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 1053987 FL Primary

Addresses

Primary practice location

11855 SW 216TH St Apt 610
Miami, FL 33170-2952

Mailing address

11855 SW 216TH St Apt 610
Miami, FL 33170-2952
Phone (786) 794-5252

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
1053987FLMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1306652953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11855 SW 216TH ST APT 610",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331702952",
            "telephone_number": "786-794-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11855 SW 216TH ST APT 610",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331702952",
            "telephone_number": "786-794-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENDE ALVAREZ",
        "first_name": "YADIRA",
        "credential": "RBT 1053987",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1053987",
            "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 9, 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.