Individual provider Active NPI

Yaravy Placeres Vallejo

  • Behavior Technician
  • Cutler Bay, FL
National Provider Identifier
1548074834
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-405044 Issued in FL
Practice address
20850 SW 87TH Ave Apt 204
Cutler Bay, FL 33189-7405
Phone
(786) 707-6254
NPI assigned
Feb 5, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X RBT-25-405044 FL Primary

Addresses

Primary practice location

20850 SW 87TH Ave Apt 204
Cutler Bay, FL 33189-7405

Mailing address

20850 SW 87TH Ave Apt 204
Cutler Bay, FL 33189-7405
Phone (786) 707-6254

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-25-405044FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1548074834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20850 SW 87TH AVE APT 204",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331897405",
            "telephone_number": "786-707-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20850 SW 87TH AVE APT 204",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331897405",
            "telephone_number": "786-707-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLACERES VALLEJO",
        "first_name": "YARAVY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-25-405044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.