Individual provider Active NPI

Yalit Van Brakle

  • Assistant Behavior Analyst
  • Miami, FL
National Provider Identifier
1407505456
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
RBT-20-119447 Issued in FL
Practice address
7480 SW 152ND Ave Apt 3
Miami, FL 33193-2398
Phone
(786) 394-3437
NPI assigned
Mar 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X RBT-20-119447 FL Primary

Addresses

Primary practice location

7480 SW 152ND Ave Apt 3
Miami, FL 33193-2398

Mailing address

7480 SW 152ND Ave Apt 3
Miami, FL 33193-2398
Phone (786) 394-3437

Other identifiers 1

IdentifierTypeStateIssuer
V-516-960-84-633-0MedicaidFL

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-20-119447FLMDAssistant Behavior Analyst

NPI Registry JSON

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1407505456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7480 SW 152ND AVE APT 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331932398",
            "telephone_number": "786-394-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7480 SW 152ND AVE APT 3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331932398",
            "telephone_number": "786-394-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BRAKLE",
        "first_name": "YALIT",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "RBT-20-119447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "V-516-960-84-633-0",
            "state": "FL"
        }
    ],
    "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 Mar 18, 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.