Individual provider Active NPI

Odeymis Calderin Medina, BCBA

  • Behavior Analyst
  • Hialeah, FL
National Provider Identifier
1053037960
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-25-85020 Issued in FL
Practice address
50 W 4TH St Apt 2
Hialeah, FL 33010-4751
Phone
(786) 320-4501
NPI assigned
Oct 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-25-85020 FL Primary

Addresses

Primary practice location

50 W 4TH St Apt 2
Hialeah, FL 33010-4751

Mailing address

50 W 4TH St Apt 2
Hialeah, FL 33010-4751
Phone (786) 320-4501

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
Syx, Corp. Behavior Analyst CurrentSince Oct 16, 2022 Accepting new patients

Locations

4215 SW 72nd Ave
Miami, FL 33155
Phone (305) 377-3297

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": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1053037960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W 4TH ST APT 2",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104751",
            "telephone_number": "786-320-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W 4TH ST APT 2",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104751",
            "telephone_number": "786-320-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERIN MEDINA",
        "first_name": "ODEYMIS",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-25-85020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.