Individual provider Active NPI

Eilyn Elvia Morales Senjudo

  • Behavior Technician
  • Cutler Bay, FL
National Provider Identifier
1093577934
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
M642-205-85-726-0 Issued in FL
Practice address
19900 Gulfstream Rd
Cutler Bay, FL 33157-8683
Phone
(305) 317-8126
NPI assigned
Jan 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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 M642-205-85-726-0 FL Primary

Addresses

Primary practice location

19900 Gulfstream Rd
Cutler Bay, FL 33157-8683

Mailing address

19900 Gulfstream Rd
Cutler Bay, FL 33157-8683
Phone (305) 317-8126

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": "1706227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1093577934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19900 GULFSTREAM RD",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331578683",
            "telephone_number": "305-317-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19900 GULFSTREAM RD",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331578683",
            "telephone_number": "305-317-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES SENJUDO",
        "first_name": "EILYN",
        "middle_name": "ELVIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "M642-205-85-726-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.