Organization Active NPI

Yofi Behavioral Services

  • Behavior Analyst
  • Lakeland, FL
National Provider Identifier
1710630728
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
YOFI BEHAVIORAL SERVICES
Practice address
600 Lake Hollingsworth Dr
Lakeland, FL 33803-2364
Phone
(863) 712-1863
NPI assigned
Jan 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amy Wlodawski Morris, BCBANPI 1437441375
Title
Owner
Phone
(863) 712-1863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

600 Lake Hollingsworth Dr
Lakeland, FL 33803-2364

Mailing address

1544 Cordgrass Way
Lakeland, FL 33813-2715
Phone (863) 712-1863

Other identifiers 1

IdentifierTypeStateIssuer
019725100MedicaidFL

Other names 1

  • Polk Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1710630728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 CORDGRASS WAY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132715",
            "telephone_number": "863-712-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LAKE HOLLINGSWORTH DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032364",
            "telephone_number": "863-712-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOFI BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "WLODAWSKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-712-1863",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019725100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polk",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.