Individual provider Active NPI

Michell Perez Acosta

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1124411731
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
100 SW 59TH CT
Miami, FL 33144-3339
Phone
(786) 461-0833
NPI assigned
Mar 7, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

100 SW 59TH CT
Miami, FL 33144-3339

Mailing address

100 SW 59TH CT
Miami, FL 33144-3339
Phone (786) 461-0833

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": "1425686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1124411731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SW 59TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443339",
            "telephone_number": "786-461-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SW 59TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443339",
            "telephone_number": "786-461-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ ACOSTA",
        "first_name": "MICHELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-07",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.