Individual provider Active NPI

Edgar Alejandro Mena Merceron

  • Behavior Technician
  • Wellington, FL
National Provider Identifier
1043814668
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
14229 Stirrup LN
Wellington, FL 33414-8263
Phone
(305) 465-7015
NPI assigned
Nov 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

14229 Stirrup LN
Wellington, FL 33414-8263

Mailing address

14229 Stirrup LN
Wellington, FL 33414-8263
Phone (305) 465-7015

Other practice location 1

1495 Forest Hill Blvd Ste A1
West Palm Beach, FL 33406-6073
Phone (305) 465-7015

Other practice location 2

312 S Old Dixie Hwy Ste 202
Jupiter, FL 33458-7489
Phone (305) 465-7015

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

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1043814668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14229 STIRRUP LN",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148263",
            "telephone_number": "305-465-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14229 STIRRUP LN",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148263",
            "telephone_number": "305-465-7015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1495 Forest Hill Blvd Ste A1",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334066073",
            "country_code": "US",
            "telephone_number": "305-465-7015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 S Old Dixie Hwy Ste 202",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334587489",
            "country_code": "US",
            "telephone_number": "305-465-7015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENA MERCERON",
        "first_name": "EDGAR",
        "middle_name": "ALEJANDRO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.