Individual provider Active NPI

Yelena Pendas Salgado

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1518510684
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-53180 Issued in FL
Practice address
6801 NW 77TH Ave Ste 202
Miami, FL 33166-2842
Phone
(786) 641-9229
NPI assigned
Jul 18, 2019
Last updated
Jan 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-53180 FL Primary
Assistant Behavior Analyst 106E00000X 0-21-11800 FL
Behavior Technician 106S00000X NU

Addresses

Primary practice location

6801 NW 77TH Ave Ste 202
Miami, FL 33166-2842

Mailing address

9410 W Flagler St Apt 312
Miami, FL 33174-2042
Phone (786) 641-9229

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

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Behavior Therapy LLC Behavior Analyst CurrentSince Jan 29, 2023 Accepting new patients
The Lighthouse Project, LLC Behavior Analyst Past Accepting new patients

Locations

6801 NW 77th Ave
Ste 202
Miami, FL 33166
Phone (786) 536-2559

306 Westward Dr
Miami Springs, FL 33166
Phone (786) 558-7894

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": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1518510684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9410 W FLAGLER ST APT 312",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742042",
            "telephone_number": "786-641-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 NW 77TH AVE STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331662842",
            "telephone_number": "786-641-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDAS SALGADO",
        "first_name": "YELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-53180",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-21-11800",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jan 27, 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.