Individual provider Active NPI

Liani Fonseca Cardenas

  • Behavior Technician
  • Doral, FL
National Provider Identifier
1033936299
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-375819 Issued in FL
Practice address
9600 NW 25TH St Ste 5B
Doral, FL 33172-1416
Phone
(305) 522-9889
NPI assigned
Sep 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X RBT-24-375819 FL Primary

Addresses

Primary practice location

9600 NW 25TH St Ste 5B
Doral, FL 33172-1416

Mailing address

8500 SW 133Rd Avenue Rd Apt 103
Miami, FL 33183-4571
Phone (786) 561-6552

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
RBT-24-375819FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
D-Way Therapy Services Corp Behavior Technician PastSince Nov 1, 2024 Accepting new patients

Organizations & group practices 1

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": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1033936299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 SW 133RD AVENUE RD APT 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834571",
            "telephone_number": "786-561-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 NW 25TH ST STE 5B",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721416",
            "telephone_number": "305-522-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONSECA CARDENAS",
        "first_name": "LIANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-375819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.