Organization Active NPI

Y&M Breath of Life LLC

  • Behavior Analyst
  • Lakeland, FL
National Provider Identifier
1992507446
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
Y&M BREATH OF LIFE LLC
Practice address
4612 Dail Rd
Lakeland, FL 33813-2007
Phone
(863) 602-6457
NPI assigned
Mar 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Mayuri Perez AcostaNPI 1730778119
Title
Owner
Phone
(863) 602-6457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

4612 Dail Rd
Lakeland, FL 33813-2007

Mailing address

4612 Dail Rd
Lakeland, FL 33813-2007

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1992507446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 DAIL RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 DAIL RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132007",
            "telephone_number": "863-602-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Y&M BREATH OF LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "PEREZ ACOSTA",
        "authorized_official_first_name": "MAYURI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-602-6457"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.