Individual provider Active NPI

Yexenia Garciga Cardenas

  • Behavior Technician
  • Kissimmee, FL
National Provider Identifier
1790455624
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-134619 Issued in FL
Practice address
4129 Mission CT Apt 205
Kissimmee, FL 34741-1853
Phone
(305) 970-5626
NPI assigned
Sep 13, 2021
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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 RBT-20-134619 FL Primary

Addresses

Primary practice location

4129 Mission CT Apt 205
Kissimmee, FL 34741-1853

Mailing address

4129 Mission CT Apt 205
Kissimmee, FL 34741-1853
Phone (305) 970-5626

Other identifiers 1

IdentifierTypeStateIssuer
BACCB599218MedicaidFL

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
RBT-20-134619FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Allstar Kids Behavioral Services, Inc PastSince Apr 1, 2022 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, 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": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1790455624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 MISSION CT APT 205",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347411853",
            "telephone_number": "305-970-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 MISSION CT APT 205",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347411853",
            "telephone_number": "305-970-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIGA CARDENAS",
        "first_name": "YEXENIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-134619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BACCB599218",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.