Individual provider Active NPI

Yankarlos Taveras, BCBA

  • Behavior Analyst
  • Chattanooga, TN
National Provider Identifier
1689320954
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1400 McCallie Ave Ste 100
Chattanooga, TN 37404-2927
Phone
(423) 531-6961
Fax
(423) 521-8094
NPI assigned
Feb 25, 2022
Last updated
Feb 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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 TN Primary

Addresses

Primary practice location

1400 McCallie Ave Ste 100
Chattanooga, TN 37404-2927

Mailing address

1400 McCallie Ave Ste 100
Chattanooga, TN 37404-2927
Phone (423) 531-6961

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
Chattanooga Autism Center CurrentSince Feb 27, 2022 Accepting new patients
Innovative Therapeutic Services, LLC PastSince Feb 27, 2022 Accepting new patients

Locations

507 W 26th St
Ste 107
Chattanooga, TN 37408

1400 McCallie Ave
Ste 100
Chattanooga, TN 37404
Phone (423) 531-6961

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.

NPI Registry JSON

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1689320954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MCCALLIE AVE STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042927",
            "telephone_number": "423-531-6961",
            "fax_number": "423-521-8094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MCCALLIE AVE STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374042927",
            "telephone_number": "423-531-6961",
            "fax_number": "423-521-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVERAS",
        "first_name": "YANKARLOS",
        "name_prefix": "Mr.",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.