Individual provider Active NPI

Andy V Mesa

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1033867858
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT21184567 Issued in FL
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

Updated by the provider on Mar 31, 2022

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 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

LicenseStateTypeSpecialty
RBT21184567FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Master Pro Corp CurrentSince Apr 6, 2025 Accepting new patients
Home Health Pro LLC CurrentSince Mar 12, 2024 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.

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.

Verify at the official NPI Registry.