Yudelkis Canciobello Sierra, PTA, BCABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-47102 Issued in FL

Practice address

13215 SW 143Rd Ter
Miami, FL 33186-8363

Phone

(786) 339-1438

NPI assigned

Sep 15, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1992106447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13215 SW 143RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331868363",
            "telephone_number": "786-339-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13215 SW 143RD TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331868363",
            "telephone_number": "786-339-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANCIOBELLO SIERRA",
        "first_name": "YUDELKIS",
        "credential": "PTA, BCABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-47102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Luis Cancio
• Maritza Cancio
• Miguel Cancio
• Mirelys Cancio
• Roberto Cancio
• Candace Fox, M.D., P.a.
• Sofia Giorgina Candal, MD
• Candales Arnp PA
• Carlos Gustavo Candales, ARNP
• Alis Candelaria Garcia

• Behavior Analyst in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.