NPIMap

Individual provider Active NPI

Laura Perez Cardenas

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1043741648
Registry record updated Oct 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
12042569 Issued in FL
Practice address
3220 SW 107TH CT
Miami, FL 33165-3610
Phone
(786) 332-1678
Fax
(305) 901-1797
NPI assigned
Mar 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Speech-Language Pathologist 235Z00000X SA22048 FL
Behavior Analyst 103K00000X 12042569 FL Primary
Case Manager/Care Coordinator 171M00000X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

3220 SW 107TH CT
Miami, FL 33165-3610

Mailing address

3220 SW 107TH CT
Miami, FL 33165-3610
Phone (786) 332-1678

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
12042569FLMDBehavioral Analyst
SA22048FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
A3L Blue Therapy Center LLC Current Accepting new patients
Adrian Blue Therapy Center LLC Behavior Analyst Past Accepting new patients

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": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697241600000",
    "number": "1043741648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 SW 107TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653610",
            "telephone_number": "786-332-1678",
            "fax_number": "305-901-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 SW 107TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653610",
            "telephone_number": "786-332-1678",
            "fax_number": "305-901-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ CARDENAS",
        "first_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2023-10-14",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA22048",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "12042569",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 14, 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.