Individual provider Active NPI

Evelio Adrian Mutis Cuellar

  • Behavior Technician
  • Coconut Grove, FL
National Provider Identifier
1033863246
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
110709500 Issued in FL
Practice address
2660 SW 37TH Ave Apt 407
Coconut Grove, FL 33133-2755
Phone
(305) 917-3403
NPI assigned
Feb 7, 2022
Last updated
Mar 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 110709500 FL Primary

Addresses

Primary practice location

2660 SW 37TH Ave Apt 407
Coconut Grove, FL 33133-2755

Mailing address

2660 SW 37TH Ave Apt 407
Coconut Grove, FL 33133-2755
Phone (305) 917-3403

Other identifiers 1

IdentifierTypeStateIssuer
110709500MedicaidFL

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

State licenses

LicenseStateTypeSpecialty
110709500FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1033863246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 SW 37TH AVE APT 407",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331332755",
            "telephone_number": "305-917-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 SW 37TH AVE APT 407",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331332755",
            "telephone_number": "305-917-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTIS CUELLAR",
        "first_name": "EVELIO",
        "middle_name": "ADRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-07",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "110709500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110709500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Grove, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.