Active NPI
Alisandra Manrique
- Behavior Analyst
- Hialeah, FL
National Provider Identifier
1124674890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 3356 W 108TH St
Hialeah, FL 33018-2200 - Phone
- (786) 769-5222
- NPI assigned
- Aug 17, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
3356 W 108TH St
Hialeah, FL 33018-2200
Mailing address
3356 W 108TH St
Hialeah, FL 33018-2200
Phone (786) 769-5222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021223200 | Medicaid | FL |
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 |
|---|---|---|---|
| Manrique Therapy Corp | Behavior Analyst | 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.
-
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- Doral, FL
- NPI 1295443802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1124674890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3356 W 108TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330182200",
"telephone_number": "786-769-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3356 W 108TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330182200",
"telephone_number": "786-769-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANRIQUE",
"first_name": "ALISANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-17",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021223200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.