Individual provider Active NPI

Yaiza Yamara Vivo Justiz

  • Behavior Analyst
  • Doral, FL
National Provider Identifier
1932940665
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
RBT-24-345712 Issued in FL
Practice address
8180 NW 36TH St Ste 225
Doral, FL 33166-6664
Phone
(786) 652-1530
NPI assigned
Jun 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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 RBT-24-345712 FL Primary

Addresses

Primary practice location

8180 NW 36TH St Ste 225
Doral, FL 33166-6664

Mailing address

722 E 27TH St
Hialeah, FL 33013-3640
Phone (786) 817-4129

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
RBT-24-345712FLMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Amazing Kiddos Home Corp Behavior Analyst CurrentSince Jun 9, 2024 Accepting new patients

Locations

8180 NW 36th St
Ste 225
Doral, FL 33166
Phone (786) 352-1530

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": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1932940665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 E 27TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133640",
            "telephone_number": "786-817-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 NW 36TH ST STE 225",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666664",
            "telephone_number": "786-652-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVO JUSTIZ",
        "first_name": "YAIZA",
        "middle_name": "YAMARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "RBT-24-345712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.