Individual provider Active NPI

Yailiany Soto Moreno

  • Behavior Analyst
  • Fort Myers, FL
National Provider Identifier
1568137354
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
9294 San Carlos Blvd
Fort Myers, FL 33967-4914
Phone
(239) 300-3207
NPI assigned
Aug 12, 2021
Last updated
Sep 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

9294 San Carlos Blvd
Fort Myers, FL 33967-4914

Mailing address

19 Del Prado Blvd N Ste I
Cape Coral, FL 33909-6303
Phone (239) 205-6766

Other practice location 1

1408 SE 17th Ave Ste E
Cape Coral, FL 33990-3801
Phone (239) 205-6766

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

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1568137354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 DEL PRADO BLVD N STE I",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339096303",
            "telephone_number": "239-205-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9294 SAN CARLOS BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339674914",
            "telephone_number": "239-300-3207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1408 SE 17th Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339903801",
            "country_code": "US",
            "telephone_number": "239-205-6766",
            "fax_number": "239-205-6852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTO MORENO",
        "first_name": "YAILIANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.