Individual provider Active NPI

Lliliam Perez Fernandez

  • Behavior Technician
  • Miami Lakes, FL
National Provider Identifier
1083204937
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
20-119873 Issued in FL
Practice address
8100 NW 155TH St Ste 200
Miami Lakes, FL 33016-5865
Phone
(786) 479-0029
NPI assigned
Jan 25, 2021
Last updated
Jan 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 20-119873 FL Primary

Addresses

Primary practice location

8100 NW 155TH St Ste 200
Miami Lakes, FL 33016-5865

Mailing address

5610 NW 176TH St
Miami Gardens, FL 33055-3551
Phone (786) 663-1280

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
20-119873FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Aye Counselor & Behavior Therapy Inc Single Specialty CurrentSince Feb 7, 2021 Accepting new patients

Locations

8100 NW 155th St
Ste 200
Miami Lakes, FL 33016
Phone (786) 241-1761

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1083204937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 NW 176TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330553551",
            "telephone_number": "786-663-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 NW 155TH ST STE 200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165865",
            "telephone_number": "786-479-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ FERNANDEZ",
        "first_name": "LLILIAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "20-119873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.

Verify at the official NPI Registry.