Angelica Maria Bolivar de Briceno

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT24331080 Issued in FL

Practice address

8111 NW 53Rd St
Doral, FL 33166-4680

Phone

(305) 724-4479

NPI assigned

Mar 12, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1144029190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 NW 53RD ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664680",
            "telephone_number": "305-724-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 NW 53RD ST",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664680",
            "telephone_number": "305-724-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIVAR DE BRICENO",
        "first_name": "ANGELICA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT24331080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boise Medical Center Inc
• Alejandra Boker, RD
• Haley C Bokros, DPT
• Grethel Virginia Bolanos
• Lilliana Mercedes Bolanos
• Jorge Mario Bolivar, APRN
• Sana Bolooki
• Roxana Bonachea, DMD
• Carlos Daniel Bonilla, D.C.
• Dieva Bonne Popa

• Behavior Technician in Doral, FL
• Providers in Doral, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.