Active NPI
Yadira Perez
- Assistant Behavior Analyst
- Homestead, FL
National Provider Identifier
1679031520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0-20-11593
- Practice address
- 15930 SW 304TH St
Homestead, FL 33033-3430 - Phone
- (786) 886-6544
- NPI assigned
- Mar 11, 2019
- Last updated
- Feb 26, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0-20-11593 | FL | Primary |
| Behavior Technician | 106S00000X | RBT1855779 | FL |
Addresses
Primary practice location
15930 SW 304TH St
Homestead, FL 33033-3430
Mailing address
15930 SW 304TH St
Homestead, FL 33033-3430
Phone (786) 886-6544
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT1855779 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renaissance Emergency Physicians,PA | Past | Accepting new patients | |
| Travis County Emergency Physicians PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1679031520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15930 SW 304TH ST",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330333430",
"telephone_number": "786-886-6544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15930 SW 304TH ST",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330333430",
"telephone_number": "786-886-6544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "YADIRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-11",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": "0-20-11593",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT1855779",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.