Individual provider Active NPI

Yanet Cordero Velazquez

  • Behavior Technician
  • Homestead, FL
National Provider Identifier
1871145284
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
022213800 Issued in FL
Practice address
12873 SW 252ND St Unit 108
Homestead, FL 33032-9191
Phone
(305) 799-1620
NPI assigned
Jul 15, 2019
Last updated
Jul 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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 022213800 FL Primary

Addresses

Primary practice location

12873 SW 252ND St Unit 108
Homestead, FL 33032-9191

Mailing address

12873 SW 252ND St Unit 108
Homestead, FL 33032-9191
Phone (305) 799-1620

Other identifiers 2

IdentifierTypeStateIssuer
18-74087MedicaidFL
022213800MedicaidFL

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
022213800FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1871145284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12873 SW 252ND ST UNIT 108",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330329191",
            "telephone_number": "305-799-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12873 SW 252ND ST UNIT 108",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330329191",
            "telephone_number": "305-799-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO VELAZQUEZ",
        "first_name": "YANET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "022213800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18-74087",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022213800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.