Active NPI
Yiselly Vera
- Behavior Technician
- Fort Myers Beach, FL
National Provider Identifier
1962152603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT21-193557
- Practice address
- 6660 Estero Blvd Unit B404
Fort Myers Beach, FL 33931-4567 - Phone
- (239) 691-6482
- NPI assigned
- Mar 25, 2022
- Last updated
- Mar 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 Technician | 106S00000X | RBT21-193557 | FL | Primary |
Addresses
Primary practice location
6660 Estero Blvd Unit B404
Fort Myers Beach, FL 33931-4567
Mailing address
2819 NW 4TH PL
Cape Coral, FL 33993-8749
Phone (754) 581-1169
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT21-193557 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648166400000",
"number": "1962152603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2819 NW 4TH PL",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339938749",
"telephone_number": "754-581-1169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6660 ESTERO BLVD UNIT B404",
"city": "FORT MYERS BEACH",
"state": "FL",
"postal_code": "339314567",
"telephone_number": "239-691-6482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERA",
"first_name": "YISELLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-25",
"last_updated": "2022-03-25",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT21-193557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.