Individual provider Active NPI

Mahelys Arrebato

  • Assistant Behavior Analyst
  • Hialeah, FL
National Provider Identifier
1073268892
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-24-15327 Issued in FL
Practice address
4062 W 8TH LN
Hialeah, FL 33012-7220
Phone
(315) 876-1242
NPI assigned
Feb 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 21-192385 FL
Assistant Behavior Analyst 106E00000X 0-24-15327 FL Primary

Addresses

Primary practice location

4062 W 8TH LN
Hialeah, FL 33012-7220

Mailing address

4062 W 8TH LN
Hialeah, FL 33012-7220
Phone (315) 876-1242

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Hialeah Direct
CONNECT URL Hialeah Direct

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

State licenses

LicenseStateTypeSpecialty
21-192385FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1073268892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4062 W 8TH LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127220",
            "telephone_number": "315-876-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4062 W 8TH LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127220",
            "telephone_number": "315-876-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARREBATO",
        "first_name": "MAHELYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "21-192385",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-24-15327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hialeah",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4062 W 8th Ln",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330127220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hialeah",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4062 W 8th Ln",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330127220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.