Active NPI
Yansel Cepero Gomez
- Behavior Technician
- Hialeah, FL
National Provider Identifier
1356965040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 20-120233
- Practice address
- 7346 Coldstream Dr
Hialeah, FL 33015-2204 - Phone
- (407) 952-8394
- NPI assigned
- May 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 20-120233 | FL | Primary |
Addresses
Primary practice location
7346 Coldstream Dr
Hialeah, FL 33015-2204
Mailing address
7346 Coldstream Dr
Hialeah, FL 33015-2204
Phone (407) 952-8394
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20-120233 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olan & Yansel Behavior Services LLC | Current | Accepting new patients | |
| Y & a All Services ABA Limited Liability Company | Single Specialty | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Behavior Analyst
- Palm Springs, FL
- NPI 1023987021
-
- Behavior Analyst
- Miami Lakes, FL
- NPI 1689528515
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1356965040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7346 COLDSTREAM DR",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330152204",
"telephone_number": "407-952-8394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7346 COLDSTREAM DR",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330152204",
"telephone_number": "407-952-8394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEPERO GOMEZ",
"first_name": "YANSEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-29",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "FL",
"license": "20-120233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.