Active NPI
Michelle Aquino Navarro Pabalate
- Behavior Analyst
- Deerfield Beach, FL
National Provider Identifier
1073004560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-50259
- Practice address
- 500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817 - Phone
- (877) 418-2978
- Fax
- (866) 500-2186
- NPI assigned
- May 21, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-21-50259 | CA | Primary |
Addresses
Primary practice location
500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817
Mailing address
500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817
Other practice location 1
631 River Oaks Pkwy
San Jose, CA 95134-1907
Phone (408) 914-9153
Other practice location 2
1811 Grand Canal Blvd Ste 2
Stockton, CA 95207-8107
Phone (877) 418-2978
Other practice location 3
1922 The Alameda Ste 425
San Jose, CA 95126
Phone (510) 679-3545
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 |
|---|---|---|---|
| Kids Overcoming, LLC | Behavior Analyst | 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
- San Jose, CA
- NPI 1730426420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1073004560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 FAIRWAY DR STE 102",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334411817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 FAIRWAY DR STE 102",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334411817",
"telephone_number": "877-418-2978",
"fax_number": "866-500-2186"
}
],
"practiceLocations": [
{
"address_1": "631 River Oaks Pkwy",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951341907",
"country_code": "US",
"telephone_number": "408-914-9153",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1811 Grand Canal Blvd Ste 2",
"address_purpose": "LOCATION",
"city": "Stockton",
"state": "CA",
"postal_code": "952078107",
"country_code": "US",
"telephone_number": "877-418-2978",
"fax_number": "866-500-2186",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1922 The Alameda Ste 425",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "95126",
"country_code": "US",
"telephone_number": "510-679-3545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAVARRO PABALATE",
"first_name": "MICHELLE",
"middle_name": "AQUINO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-21",
"last_updated": "2021-08-09",
"certification_date": "2021-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-21-50259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.