Individual provider Active NPI

Julia Yudelkys Vargas Tamayo

  • Behavior Technician
  • Fort Lauderdale, FL
National Provider Identifier
1679083398
Registry record updated Oct 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1110 SW 31St Ave
Ft Lauderdale, FL 33312-2829
Phone
(786) 328-6456
NPI assigned
Oct 8, 2017
Last updated
Oct 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2017

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 NU Primary

Addresses

Primary practice location

1110 SW 31St Ave
Ft Lauderdale, FL 33312-2829

Mailing address

1110 SW 31St Ave
Ft Lauderdale, FL 33312-2829
Phone (786) 328-6456

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": "1507420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507420800000",
    "number": "1679083398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 SW 31ST AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122829",
            "telephone_number": "786-328-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 SW 31ST AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122829",
            "telephone_number": "786-328-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS TAMAYO",
        "first_name": "JULIA",
        "middle_name": "YUDELKYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-08",
        "last_updated": "2017-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2017; 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.