Active NPI
Marianela Castellanos Suarez
- Assistant Behavior Analyst
- Homestead, FL
National Provider Identifier
1053995803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0-23-14907
- Practice address
- 710 SE 22ND LN
Homestead, FL 33033-5218 - Phone
- (786) 486-9941
- NPI assigned
- May 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0-23-14907 | FL | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
710 SE 22ND LN
Homestead, FL 33033-5218
Mailing address
710 SE 22ND LN
Homestead, FL 33033-5218
Phone (786) 486-9941
Other practice location 1
467 Lake Howell Rd Ste 102
Maitland, FL 32751-5922
Phone (407) 449-2813
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110292500 | Medicaid | FL |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allstar Kids Behavioral Services, Inc | Past | Accepting new patients |
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.
-
- Behavior Analyst
- Orlando, FL
- NPI 1437763497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1053995803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 SE 22ND LN",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330335218",
"telephone_number": "786-486-9941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 SE 22ND LN",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330335218",
"telephone_number": "786-486-9941"
}
],
"practiceLocations": [
{
"address_1": "467 Lake Howell Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Maitland",
"state": "FL",
"postal_code": "327515922",
"country_code": "US",
"telephone_number": "407-449-2813",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTELLANOS SUAREZ",
"first_name": "MARIANELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-07",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": "0-23-14907",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110292500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.