Active NPI
Brenda Quinones Pagan
- Behavior Technician
- Miami, FL
National Provider Identifier
1063928828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 8785 SW 165TH Ave Ste 103
Miami, FL 33193-5827 - Phone
- (786) 206-6500
- NPI assigned
- Dec 15, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
8785 SW 165TH Ave Ste 103
Miami, FL 33193-5827
Mailing address
11248 NW 58TH Ter
Doral, FL 33178-2824
Phone (787) 636-1919
Other practice location 1
11248 NW 58th Ter
Doral, FL 33178-2824
Phone (787) 636-1919
Other practice location 2
11248 NW 58th Ter
Doral, FL 33178-2824
Phone (787) 636-1919
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": "1513296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1063928828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11248 NW 58TH TER",
"city": "DORAL",
"state": "FL",
"postal_code": "331782824",
"telephone_number": "787-636-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8785 SW 165TH AVE STE 103",
"city": "MIAMI",
"state": "FL",
"postal_code": "331935827",
"telephone_number": "786-206-6500"
}
],
"practiceLocations": [
{
"address_1": "11248 NW 58th Ter",
"address_purpose": "LOCATION",
"city": "Doral",
"state": "FL",
"postal_code": "331782824",
"country_code": "US",
"telephone_number": "787-636-1919",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11248 NW 58th Ter",
"address_purpose": "LOCATION",
"city": "Doral",
"state": "FL",
"postal_code": "331782824",
"country_code": "US",
"telephone_number": "787-636-1919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUINONES PAGAN",
"first_name": "BRENDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-15",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.