Healthcare Provider Details

I. General information

NPI: 1659209088
Provider Name (Legal Business Name): YAYA KERSEY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W STATE ROAD 436
ALTAMONTE SPRINGS FL
32714-3054
US

IV. Provider business mailing address

801 W STATE ROAD 436
ALTAMONTE SPRINGS FL
32714-3054
US

V. Phone/Fax

Practice location:
  • Phone: 862-272-2539
  • Fax:
Mailing address:
  • Phone: 862-272-2539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: N'KAYAH KERSEY
Title or Position: CEO
Credential: MS, BCBA, IBA
Phone: 862-272-2539