Individual provider Active NPI

Yoan Manuel Mirabal Hernandez

  • Behavior Technician
  • Orlando, FL
National Provider Identifier
1992590897
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2151 Consulate Dr Ste 11
Orlando, FL 32837-8806
Phone
(321) 444-9527
Fax
(407) 641-9591
NPI assigned
Apr 11, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

2151 Consulate Dr Ste 11
Orlando, FL 32837-8806

Mailing address

2151 Consulate Dr Ste 11
Orlando, FL 32837-8806
Phone (321) 444-9527

Other names 1

  • Mr. Yoan Manuel Mirabal Hernandez Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Side by Side Behavioral Health LLC Behavior Technician CurrentSince Apr 13, 2025 Accepting new patients
Side by Side Behavioral Health LLC Behavior Technician CurrentSince Apr 13, 2025 Accepting new patients

Locations

2151 Consulate Dr
Ste 11
Orlando, FL 32837
Phone (321) 444-9527

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1992590897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 CONSULATE DR STE 11",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378806",
            "telephone_number": "321-444-9527",
            "fax_number": "407-641-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 CONSULATE DR STE 11",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378806",
            "telephone_number": "321-444-9527",
            "fax_number": "407-641-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRABAL HERNANDEZ",
        "first_name": "YOAN",
        "middle_name": "MANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOAN",
            "last_name": "MIRABAL HERNANDEZ",
            "middle_name": "MANUEL",
            "prefix": "MR.",
            "credential": "RBT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.