Individual provider Active NPI

Yanelly Suarez

  • Behavior Technician
  • Harbor City, CA
National Provider Identifier
1598332694
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
Y4606398 Issued in CA
Practice address
1219 Lomita Blvd Ste 104-106
Harbor City, CA 90710-2111
Phone
(424) 328-5297
NPI assigned
Jun 7, 2021
Last updated
Jun 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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 Y4606398 CA Primary

Addresses

Primary practice location

1219 Lomita Blvd Ste 104-106
Harbor City, CA 90710-2111

Mailing address

1219 Lomita Blvd Ste 104-106
Harbor City, CA 90710-2111
Phone (424) 328-5297

Other practice location 1

1219 Lomita Blvd
Harbor City, CA 90710-2111
Phone (424) 328-5297

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
Y4606398CAMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1598332694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 LOMITA BLVD STE 104-106",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102111",
            "telephone_number": "424-328-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 LOMITA BLVD STE 104-106",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102111",
            "telephone_number": "424-328-5297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1219 Lomita Blvd",
            "address_purpose": "LOCATION",
            "city": "Harbor City",
            "state": "CA",
            "postal_code": "907102111",
            "country_code": "US",
            "telephone_number": "424-328-5297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "YANELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "Y4606398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harbor City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.