Organization Active NPI

Advanced Family Support Corp

  • Assistant Behavior Analyst
  • Lehigh Acres, FL
National Provider Identifier
1316537111
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
Legal business name
ADVANCED FAMILY SUPPORT CORP
Practice address
5561 Belrose St
Lehigh Acres, FL 33971-6446
Phone
(239) 201-7704
NPI assigned
Jan 25, 2021
Last updated
Feb 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Yilena Echerri SiverioNPI 1770086035
Title
President
Phone
(786) 328-8558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Behavior Analyst 103K00000X NU
Assistant Behavior Analyst 106E00000X NU Primary

Addresses

Primary practice location

5561 Belrose St
Lehigh Acres, FL 33971-6446

Mailing address

5561 Belrose St
Lehigh Acres, FL 33971-6446
Phone (786) 328-8558

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1316537111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5561 BELROSE ST",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339716446",
            "telephone_number": "786-328-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5561 BELROSE ST",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339716446",
            "telephone_number": "239-201-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY SUPPORT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "ECHERRI SIVERIO",
        "authorized_official_first_name": "YILENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-328-8558"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.