Individual provider Active NPI

Abigail Yeini, BCBA

  • Behavior Analyst
  • Davie, FL
National Provider Identifier
1437740339
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-62369
Practice address
10368 West State Rd 84
Suite #104
Davie, FL 33324
Phone
(954) 861-9161
NPI assigned
Feb 2, 2021
Last updated
Aug 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-133589 FL
Behavior Analyst 103K00000X 1-22-62369 Primary

Addresses

Primary practice location

10368 West State Rd 84
Suite #104
Davie, FL 33324

Mailing address

1912 Water Ridge Dr
Weston, FL 33326-2387
Phone (954) 864-3133

Other practice location 1

10368 W State Road 84 Ste 104
Davie, FL 33324-4242
Phone (954) 314-7024

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-20-133589FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Achieving Expectations LLC Behavior Analyst PastSince Sep 1, 2021 Accepting new patients
Reveresco ABA Therapy, LLC Behavior Analyst PastSince Feb 1, 2021 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1437740339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 WATER RIDGE DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333262387",
            "telephone_number": "954-864-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10368 WEST STATE RD 84",
            "address_2": "SUITE #104",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "33324",
            "telephone_number": "954-861-9161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10368 W State Road 84 Ste 104",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333244242",
            "country_code": "US",
            "telephone_number": "954-314-7024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEINI",
        "first_name": "ABIGAIL",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2023-08-04",
        "certification_date": "2022-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-133589",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-22-62369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.