Active NPI
Thalia Boza
- Behavior Technician
- Stuart, FL
National Provider Identifier
1073371910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 24-325213
- Practice address
- 850 NW Federal Hwy # 173
Stuart, FL 34994-1019 - Phone
- (772) 362-9878
- Fax
- (772) 362-9879
- NPI assigned
- Mar 6, 2024
- 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 | 24-325213 | FL | Primary |
Addresses
Primary practice location
850 NW Federal Hwy # 173
Stuart, FL 34994-1019
Mailing address
138 W 12TH St Apt 5
Hialeah, FL 33010-3966
Phone (305) 850-5265
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24-325213 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1073371910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 W 12TH ST APT 5",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330103966",
"telephone_number": "305-850-5265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 NW FEDERAL HWY # 173",
"city": "STUART",
"state": "FL",
"postal_code": "349941019",
"telephone_number": "772-362-9878",
"fax_number": "772-362-9879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOZA",
"first_name": "THALIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-06",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "24-325213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.