Individual provider Active NPI

Yarmarel Fernandez

  • Assistant Behavior Analyst
  • Fort Myers, FL
National Provider Identifier
1962977082
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-21-12967 Issued in FL
Practice address
8140 College Pkwy Ste 107
Fort Myers, FL 33919-4111
Phone
(239) 360-7963
Fax
(239) 360-7967
NPI assigned
Oct 4, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-21-12967 FL Primary
Behavior Technician 106S00000X RBT-18-58078 FL

Addresses

Primary practice location

8140 College Pkwy Ste 107
Fort Myers, FL 33919-4111

Mailing address

220 SW 22ND St
Cape Coral, FL 33991-4329
Phone (239) 763-0866

Other practice location 1

1408 SE 17th Ave Ste E
Cape Coral, FL 33990-3801
Phone (239) 205-6766

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-18-58078FLMDBehavior Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1962977082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SW 22ND ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339914329",
            "telephone_number": "239-763-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 COLLEGE PKWY STE 107",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194111",
            "telephone_number": "239-360-7963",
            "fax_number": "239-360-7967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1408 SE 17th Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339903801",
            "country_code": "US",
            "telephone_number": "239-205-6766",
            "fax_number": "239-205-6852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "YARMAREL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-21-12967",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-58078",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.