Individual provider Active NPI

Yaiset Benitez Martinez

  • Behavior Technician
  • Miami Gardens, FL
National Provider Identifier
1912784232
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
21-195911 Issued in FL
Practice address
16834 NW 52ND PL
Miami Gardens, FL 33055-4015
Phone
(786) 260-3154
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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 21-195911 FL Primary

Addresses

Primary practice location

16834 NW 52ND PL
Miami Gardens, FL 33055-4015

Mailing address

16834 NW 52ND PL
Miami Gardens, FL 33055-4015
Phone (786) 260-3154

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
21-195911FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Targeted Case Management of Florida, Inc Past 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": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1912784232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16834 NW 52ND PL",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330554015",
            "telephone_number": "786-260-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16834 NW 52ND PL",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330554015",
            "telephone_number": "786-260-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ MARTINEZ",
        "first_name": "YAISET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "21-195911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.