Mailenis Davila Tamayo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-360395 Issued in FL

Practice address

2404 NW 29TH Ter
Cape Coral, FL 33993-8247

Phone

(239) 355-9454

NPI assigned

Jul 11, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bright Future With ABA LLC

  • Behavior Analyst
  • Fort Myers, FL
  • NPI 1689348344
  NPD (past)

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1063259638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 NW 29TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339938247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 NW 29TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339938247",
            "telephone_number": "239-355-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA TAMAYO",
        "first_name": "MAILENIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-360395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David a Mackoul, M.D., P.a.
• David R Driesbach DO
• Hilario David, M.D.
• Niccos John David, DPM
• Adianet Davila Marrero
• Saily Davila Valdes, RBT
• Wilma Davilus
• April Davis, PHLEBOTOMIST
• Avrille Y Davis, RN, CNS-BC
• Leah Devon Davis, LCSW

• Behavior Technician in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.