Individual provider Active NPI

Yilena Echerri Siverio, BCABA

  • Assistant Behavior Analyst
  • Lehigh Acres, FL
National Provider Identifier
1770086035
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
02112410 Issued in FL
Practice address
5561 Belrose St
Lehigh Acres, FL 33971-6446
Phone
(786) 328-8558
NPI assigned
Mar 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X
Assistant Behavior Analyst 106E00000X 02112410 FL Primary

Addresses

Primary practice location

5561 Belrose St
Lehigh Acres, FL 33971-6446

Mailing address

5561 Belrose St
Lehigh Acres, FL 33971-6446

Other practice location 1

2891 Center Pointe Dr Ste 303
Fort Myers, FL 33916-9456
Phone (786) 328-8558

Other practice location 2

8359 Beacon Blvd Ste 416
Fort Myers, FL 33907-3065
Phone (239) 529-0957

Other identifiers 1

IdentifierTypeStateIssuer
05MedicaidFL

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

State licenses

LicenseStateTypeSpecialty
02112410FLMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Support Corp Behavior Analyst CurrentSince Aug 28, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1770086035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5561 BELROSE ST",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339716446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5561 BELROSE ST",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339716446",
            "telephone_number": "786-328-8558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2891 Center Pointe Dr Ste 303",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339169456",
            "country_code": "US",
            "telephone_number": "786-328-8558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8359 Beacon Blvd Ste 416",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339073065",
            "country_code": "US",
            "telephone_number": "239-529-0957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECHERRI SIVERIO",
        "first_name": "YILENA",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "02112410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.