Active NPI
Yanexis Portilla
- Behavior Analyst
- North Port, FL
National Provider Identifier
1669997169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 5551 Reisterstown Rd
North Port, FL 34291-4708 - Phone
- (239) 286-8242
- NPI assigned
- Aug 7, 2017
- Sex
- Female
- Sole proprietor
- No
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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
5551 Reisterstown Rd
North Port, FL 34291-4708
Mailing address
5551 Reisterstown Rd
North Port, FL 34291-4708
Phone (239) 286-8242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023133800 | Medicaid | FL |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desoto ABA Services Corp | Behavior Analyst | Current | Accepting new patients |
Locations
223 Taylor St
Ste 127
Punta Gorda, FL 33950
Phone (239) 286-8242
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.
-
- Behavior Analyst
- Punta Gorda, FL
- NPI 1053174334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1669997169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5551 REISTERSTOWN RD",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342914708",
"telephone_number": "239-286-8242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5551 REISTERSTOWN RD",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342914708",
"telephone_number": "239-286-8242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTILLA",
"first_name": "YANEXIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-07",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023133800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Port, FL
- Laurie Lynne Pope, M.S. CCC-SLP
- Port Charlotte Hma LLC
- Port Charlotte Hma LLC
- Port Charlotte Hma Physician Management LLC
- Port Charlotte Hma Physician Management LLC
- Ever L Presutti, PTA
- Jeffre Ogilvie Price, DC
- Primary Care Practitioners of Florida
- Prime Health of North Port LLC
- Heather Proctor, LMHC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.