Individual provider Active NPI

Yudelsy Acuna Bermudez, BCBA

  • Behavior Analyst
  • Miami Lakes, FL
National Provider Identifier
1649718339
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-46603 Issued in FL
Practice address
14433 NW 87TH PL
Miami Lakes, FL 33018-8040
Phone
(786) 491-2931
Fax
(305) 742-2190
NPI assigned
Feb 2, 2017
Last updated
Dec 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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 1-20-46603 FL Primary

Addresses

Primary practice location

14433 NW 87TH PL
Miami Lakes, FL 33018-8040

Mailing address

14433 NW 87TH PL
Miami Lakes, FL 33018-8040
Phone (786) 491-2931

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": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1649718339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14433 NW 87TH PL",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330188040",
            "telephone_number": "786-491-2931",
            "fax_number": "305-742-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14433 NW 87TH PL",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330188040",
            "telephone_number": "786-491-2931",
            "fax_number": "305-742-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACUNA BERMUDEZ",
        "first_name": "YUDELSY",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-20-46603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.