Individual provider Active NPI

Yenisey Fernandez, BCBA

  • Behavior Analyst
  • Loxahatchee, FL
National Provider Identifier
1922379239
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1402 Thistle PL
Loxahatchee, FL 33470-1173
Phone
(561) 315-4170
NPI assigned
Jan 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1402 Thistle PL
Loxahatchee, FL 33470-1173

Mailing address

122 Monterey Way
West Palm Beach, FL 33411-7801
Phone (561) 315-4170

Other practice location 1

8461 Lake Worth Rd
Lake Worth, FL 33467-2474
Phone (561) 315-4170

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lasting Behavior Changes, Inc. Behavior Analyst CurrentSince Jul 25, 2019 Accepting new patients
Developmental Intervention Specialists Past Accepting new patients
Lasting Behavior Changes PastSince Dec 3, 2023 Accepting new patients

Locations

8461 Lake Worth Rd
Wellington, FL 33467
Phone (561) 209-6868

Organizations & group practices 3

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": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1922379239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 MONTEREY WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334117801",
            "telephone_number": "561-315-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 THISTLE PL",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334701173",
            "telephone_number": "561-315-4170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8461 Lake Worth Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334672474",
            "country_code": "US",
            "telephone_number": "561-315-4170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "YENISEY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-18",
        "last_updated": "2023-12-13",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.