Individual provider Active NPI

Dayamiris Marquez Moreno

  • Behavior Technician
  • Tampa, FL
National Provider Identifier
1093393803
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
11008 Streamside Dr
Tampa, FL 33624-7000
Phone
(813) 298-4977
NPI assigned
Apr 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 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 FL Primary

Addresses

Primary practice location

11008 Streamside Dr
Tampa, FL 33624-7000

Mailing address

11008 Streamside Dr
Tampa, FL 33624-7000
Phone (813) 298-4977

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL TAMPA

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": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1093393803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11008 STREAMSIDE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336247000",
            "telephone_number": "813-298-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11008 STREAMSIDE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336247000",
            "telephone_number": "813-298-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ MORENO",
        "first_name": "DAYAMIRIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TAMPA",
            "affiliation": "N",
            "address_1": "11008 Streamside Dr",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336247000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.