Individual provider Active NPI

Yuriselis Carmona Marquez

  • Behavior Analyst
  • Lehigh Acres, FL
National Provider Identifier
1972290518
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-26-88406 Issued in FL
Practice address
391 Lee Blvd Ste 200
Lehigh Acres, FL 33936-4973
Phone
(239) 344-9236
Fax
(239) 790-1408
NPI assigned
Apr 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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 1-26-88406 FL Primary

Addresses

Primary practice location

391 Lee Blvd Ste 200
Lehigh Acres, FL 33936-4973

Mailing address

1012 NE 34TH Ter
Cape Coral, FL 33909-6423
Phone (239) 355-0535

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

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1972290518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 NE 34TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339096423",
            "telephone_number": "239-355-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 LEE BLVD STE 200",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364973",
            "telephone_number": "239-344-9236",
            "fax_number": "239-790-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMONA MARQUEZ",
        "first_name": "YURISELIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-26-88406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.