Active NPI
Christian Ruby Carbonell, BCBA
- Behavior Analyst
- Miramar, FL
National Provider Identifier
1093961740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-09-6542
- Practice address
- 12801 SW 30TH St
Miramar, FL 33027-5300 - Phone
- (305) 469-3603
- NPI assigned
- Aug 13, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Early Intervention Provider Agency | 252Y00000X | 0-02-0435 CERTIFICAT | FL | |
| Behavior Analyst | 103K00000X | 1-09-6542 | FL | Primary |
Addresses
Primary practice location
12801 SW 30TH St
Miramar, FL 33027-5300
Mailing address
12801 SW 30TH St
Miramar, FL 33027-5300
Phone (305) 469-3603
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bri-ABA Services, LLC | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Developmentally Disabled Services Day Training Agency
- Miramar, FL
- NPI 1851032650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1093961740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12801 SW 30TH ST",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330275300",
"telephone_number": "305-469-3603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12801 SW 30TH ST",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330275300",
"telephone_number": "305-469-3603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARBONELL",
"first_name": "CHRISTIAN",
"middle_name": "RUBY",
"name_prefix": "Mrs.",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-13",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "FL",
"license": "0-02-0435 CERTIFICAT",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-09-6542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.