Active NPI
Yenisey Fernandez, BCBA
- Behavior Analyst
- Loxahatchee, FL
National Provider Identifier
1922379239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lasting Behavior Changes, Inc. | Behavior Analyst | Current | Accepting new patients |
| Developmental Intervention Specialists | Past | Accepting new patients | |
| Lasting Behavior Changes | Past | 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.
-
- Behavior Analyst
- Lake Worth, FL
- NPI 1467004986
-
- Behavior Technician
- Lake Worth, FL
- NPI 1609642016
-
- Community/Behavioral Health Agency
- Boynton Beach, FL
- NPI 1992133698
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.