Individual provider Active NPI

Camila Molina

  • Behavior Analyst
  • Boca Raton, FL
National Provider Identifier
1043694540
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1251 SW 11TH Ter
Boca Raton, FL 33486-5407
Phone
(561) 414-5503
NPI assigned
Jul 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11722 FL
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1251 SW 11TH Ter
Boca Raton, FL 33486-5407

Mailing address

1251 SW 11TH Ter
Boca Raton, FL 33486-5407
Phone (561) 414-5503

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
11722FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Sprouts LLC CurrentSince Nov 19, 2023 Accepting new patients
Mindful Sprouts LLC Mental Health CurrentSince Oct 22, 2023 Accepting new patients

Locations

7301A W Palmetto Park Rd
Ste 100C
Boca Raton, FL 33433
Phone (954) 248-1171

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": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1043694540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 SW 11TH TER",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334865407",
            "telephone_number": "561-414-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 SW 11TH TER",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334865407",
            "telephone_number": "561-414-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "CAMILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "11722",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.