Individual provider Active NPI

Yordanka Vazquez Vergel, RBT

  • Behavior Technician
  • Palm Beach Gardens, FL
National Provider Identifier
1861081374
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
21-150697 Issued in FL
Practice address
4440 Pga Blvd Ste 639
Palm Beach Gardens, FL 33410-6539
Phone
(561) 480-1075
NPI assigned
Jan 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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 21-150697 FL Primary

Addresses

Primary practice location

4440 Pga Blvd Ste 639
Palm Beach Gardens, FL 33410-6539

Mailing address

177 Woodland Rd
Palm Springs, FL 33461-1066
Phone (561) 932-5603

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
21-150697FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Effects Inc. Behavior Analyst PastSince Oct 24, 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": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1861081374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 WOODLAND RD",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334611066",
            "telephone_number": "561-932-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 PGA BLVD STE 639",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106539",
            "telephone_number": "561-480-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ VERGEL",
        "first_name": "YORDANKA",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "21-150697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.