Yoaurea Nisse Tirado Cantres

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5500 Murrell Rd Ste 100
Melbourne, FL 32940-6700

Phone

(321) 426-7759

NPI assigned

Oct 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1841766136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MIDDLE ST UNIT 1201",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MURRELL RD STE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406700",
            "telephone_number": "321-426-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRADO CANTRES",
        "first_name": "YOAUREA",
        "middle_name": "NISSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6272617",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alycia Tillman, M.S. CCC-SLP
• Deborah Timm
• Lisa Timrick, COTA
• Delores Anne Tinelli-Thompson, MS
• Sarah Tippit, LMFT
• Jennifer Jill Tite, P.A.
• Cynthia Lee Titus, A.R.N.P.
• TNT Enterprises of Brevard Inc.
• Henry J. Tobelmann III, BS, LMT
• Colleen Cook Tobia, PHARMD

• Behavior Technician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.