Active NPI
Yareli Sandoval, RBT
- Behavior Technician
- Yuma, AZ
National Provider Identifier
1578079760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 16-21425
- Practice address
- 2741 S 8TH Ave Ste C
Yuma, AZ 85364-7154 - Phone
- (928) 782-1338
- NPI assigned
- Dec 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 16-21425 | AZ | Primary |
Addresses
Primary practice location
2741 S 8TH Ave Ste C
Yuma, AZ 85364-7154
Mailing address
2741 S 8TH Ave Ste C
Yuma, AZ 85364-7154
Phone (928) 782-1338
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16-21425 | AZ | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514246400000",
"number": "1578079760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2741 S 8TH AVE STE C",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647154",
"telephone_number": "928-782-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2741 S 8TH AVE STE C",
"city": "YUMA",
"state": "AZ",
"postal_code": "853647154",
"telephone_number": "928-782-1338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOVAL",
"first_name": "YARELI",
"name_prefix": "Miss",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-26",
"last_updated": "2017-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "AZ",
"license": "16-21425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.