Yaidelin Izquierdo Concepcion

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-304331 Issued in FL

Practice address

1475 Collingswood Blvd Unit G
Port Charlotte, FL 33948-1059

Phone

(941) 999-4917

NPI assigned

Nov 3, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Play on Words Therapy Connections

  • Behavior Analyst
  • Englewood, FL
  • NPI 1053735316
  NPD (past)

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1386417145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27173 MONROE ST",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339832761",
            "telephone_number": "239-699-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 COLLINGSWOOD BLVD UNIT G",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481059",
            "telephone_number": "941-999-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZQUIERDO CONCEPCION",
        "first_name": "YAIDELIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-304331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.