Individual provider Active NPI

Andrys Coto Gracia

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1033916085
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
25-413238 Issued in FL
Practice address
13777 SW 154TH St
Miami, FL 33177
Phone
(786) 346-5806
NPI assigned
Feb 27, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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 25-413238 FL Primary

Addresses

Primary practice location

13777 SW 154TH St
Miami, FL 33177

Mailing address

1130 W 25TH St Apt 2
Hialeah, FL 33010-1943
Phone (786) 346-5806

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
25-413238FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1033916085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 W 25TH ST APT 2",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330101943",
            "telephone_number": "786-346-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13777 SW 154TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33177",
            "telephone_number": "786-346-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTO GRACIA",
        "first_name": "ANDRYS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "25-413238",
            "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 Feb 27, 2025; 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.