Isabel Nazira Mendoza Naim, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3501 W Vine St Ste 124
Kissimmee, FL 34741-4660

Phone

(407) 483-3074

NPI assigned

Sep 2, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• A Boundless Care Inc

  • Community/Behavioral Health Agency
  • Kissimmee, FL
  • NPI 1235527789
  NPD

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1053711622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 W VINE ST STE 124",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414660",
            "telephone_number": "407-483-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 W VINE ST STE 124",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414660",
            "telephone_number": "407-483-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA NAIM",
        "first_name": "ISABEL",
        "middle_name": "NAZIRA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Marie Mendez
• Ydaisa Mendez
• Jesus Mendiolaza, MD
• Melanie Marie Mendoza Berrios, B.A.
• Karelys Mendoza Buffill
• Anagesky Mendoza
• Jose Ramon Mendoza, MSW
• Jose C Menendez, MD
• Ana Maria Meneses, MS, RDN, LDN
• Mental Health Resource Center Inc

• Behavior Analyst in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.