Yadilys Pereda Serrano

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-142715 Issued in FL

Practice address

4830 NW 167TH St
Miami Lakes, FL 33014-6426

Phone

(305) 515-2726

NPI assigned

May 21, 2021

Last updated

May 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lighting Behavior Services LLC

  • Behavior Analyst
  • Miami Lakes, FL
  • NPI 1356869622
  NPD (past)

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1558936690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8315 NW 33RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331473907",
            "telephone_number": "786-678-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 NW 167TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146426",
            "telephone_number": "305-515-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREDA SERRANO",
        "first_name": "YADILYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-142715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Peralta
• Gleidy Peraza Lopez, PHARMD
• Katherine Peraza, PHARMD
• Laripza Peraza
• Melissa Perea
• Yaimis Liubis Pereira-Olivera, OTR
• Karina Pereira
• Estefania Perera Hernandez
• Melanie Perera Hernandez
• Jasmine Perera

• Behavior Technician in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.