Individual provider Active NPI

Olga L Mendez Carmona

  • Assistant Behavior Analyst
  • Hialeah, FL
National Provider Identifier
1033562491
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-19-10183 Issued in FL
Practice address
716 W 37TH St
Hialeah, FL 33012-5144
Phone
(786) 899-1160
NPI assigned
Jul 20, 2016
Last updated
Oct 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-19-10183 FL Primary

Addresses

Primary practice location

716 W 37TH St
Hialeah, FL 33012-5144

Mailing address

716 W 37TH St
Hialeah, FL 33012-5144
Phone (786) 899-1160

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": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1033562491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 W 37TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125144",
            "telephone_number": "786-899-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 W 37TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125144",
            "telephone_number": "786-899-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ CARMONA",
        "first_name": "OLGA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-19-10183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.