Individual provider Active NPI

Yanelis Avalos Cardenas

  • Behavior Analyst
  • Kissimmee, FL
National Provider Identifier
1639685381
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1416 Simpson Rd
Kissimmee, FL 34744-4600
Phone
(321) 947-8923
NPI assigned
Dec 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X FL
Behavior Analyst 103K00000X FL Primary

Addresses

Primary practice location

1416 Simpson Rd
Kissimmee, FL 34744-4600

Mailing address

1370 Boulder Dr
Kissimmee, FL 34744-3630
Phone (832) 286-7567

Other practice location 1

414 Lake Howell Rd
Maitland, FL 32751-5900
Phone (321) 317-7188

Other practice location 2

3501 W Vine St Ste 124
Kissimmee, FL 34741-4660
Phone (407) 483-3074

Other identifiers 1

IdentifierTypeStateIssuer
695678MedicaidFL

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

Practice roles

OrganizationSpecialtyStatusNew patients
A Boundless Care Inc CurrentSince Apr 24, 2022 Accepting new patients

Locations

3501 W Vine St
Ste 124
Kissimmee, FL 34741
Phone (407) 483-3074

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1639685381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 BOULDER DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443630",
            "telephone_number": "832-286-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 SIMPSON RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444600",
            "telephone_number": "321-947-8923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 Lake Howell Rd",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327515900",
            "country_code": "US",
            "telephone_number": "321-317-7188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 W Vine St Ste 124",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414660",
            "country_code": "US",
            "telephone_number": "407-483-3074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVALOS CARDENAS",
        "first_name": "YANELIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "695678",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.