Active NPI
Andy V Mesa
- Behavior Technician
- Miami, FL
National Provider Identifier
1033867858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT21184567
- Practice address
- 14221 SW 120TH St Ste 227
Miami, FL 33186-4225 - Phone
- (305) 300-3004
- NPI assigned
- Mar 10, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT21184567 | FL | Primary |
Addresses
Primary practice location
14221 SW 120TH St Ste 227
Miami, FL 33186-4225
Mailing address
10017 W Okeechobee Rd Apt 103
Hialeah Gardens, FL 33016-3137
Phone (786) 307-5198
Other practice location 1
10300 SW 72nd St Ste 114
Miami, FL 33173-3038
Phone (855) 832-6727
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT21184567 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Master Pro Corp | Current | Accepting new patients | |
| Home Health Pro LLC | Current | Accepting new patients |
Locations
14221 SW 120th St
Ste 227
Miami, FL 33186
Phone (305) 300-3004
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.
-
- Behavior Analyst
- Miami, FL
- NPI 1144730698
-
- Home Health Agency
- Miami, FL
- NPI 1851158166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1033867858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10017 W OKEECHOBEE RD APT 103",
"city": "HIALEAH GARDENS",
"state": "FL",
"postal_code": "330163137",
"telephone_number": "786-307-5198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14221 SW 120TH ST STE 227",
"city": "MIAMI",
"state": "FL",
"postal_code": "331864225",
"telephone_number": "305-300-3004"
}
],
"practiceLocations": [
{
"address_1": "10300 SW 72nd St Ste 114",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331733038",
"country_code": "US",
"telephone_number": "855-832-6727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MESA",
"first_name": "ANDY",
"middle_name": "V",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-10",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT21184567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.