Individual provider Active NPI

Maria Fernanda Bermudez

  • Behavior Technician
  • Doral, FL
National Provider Identifier
1043757503
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
10200 NW 25TH St
Suite 204
Doral, FL 33172-5921
Phone
(305) 406-3689
Fax
(786) 534-4962
NPI assigned
Jan 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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 Primary

Addresses

Primary practice location

10200 NW 25TH St
Suite 204
Doral, FL 33172-5921

Mailing address

10200 NW 25TH St
Suite 204
Doral, FL 33172-5921
Phone (305) 406-3689

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

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Professionals LLC CurrentSince Nov 27, 2022 Accepting new patients
Foundart Inc. PastSince Sep 15, 2019 Accepting new patients
Art of Behavior Analysis, Inc. PastSince Jul 28, 2019 Accepting new patients

Locations

241 Ruby Ave
Ste 203
Kissimmee, FL 34741
Phone (305) 450-2683

Organizations & group practices 3

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": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1043757503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 NW 25TH ST",
            "address_2": "SUITE 204",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331725921",
            "telephone_number": "305-406-3689",
            "fax_number": "786-534-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 NW 25TH ST",
            "address_2": "SUITE 204",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331725921",
            "telephone_number": "305-406-3689",
            "fax_number": "786-534-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMUDEZ",
        "first_name": "MARIA",
        "middle_name": "FERNANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "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 Jan 23, 2017; 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.