Individual provider Active NPI

Yuniel Guevara Moreno, RBT

  • Behavior Technician
  • Brandon, FL
National Provider Identifier
1528867876
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-408136 Issued in FL
Practice address
504 S Kings Ave # 1007
Brandon, FL 33511-5922
Phone
(813) 336-7736
Fax
(204) 540-8890
NPI assigned
Mar 10, 2025
Last updated
Mar 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-25-408136 FL Primary

Addresses

Primary practice location

504 S Kings Ave # 1007
Brandon, FL 33511-5922

Mailing address

504 S Kings Ave # 1007
Brandon, FL 33511-5922
Phone (813) 336-7736

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-25-408136FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
ABA 4 Care Solutions LLC Behavior Technician CurrentSince Mar 20, 2025 Accepting new patients

Locations

504 S Kings Ave
Brandon, FL 33511
Phone (216) 925-3309

Organizations & group practices 1

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": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1528867876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 S KINGS AVE # 1007",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115922",
            "telephone_number": "813-336-7736",
            "fax_number": "204-540-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 S KINGS AVE # 1007",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115922",
            "telephone_number": "813-336-7736",
            "fax_number": "204-540-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA MORENO",
        "first_name": "YUNIEL",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-25-408136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.