Active NPI
Therry Mathurin
- Assistant Behavior Analyst
- Miami, FL
National Provider Identifier
1154138212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- BACB1206016
- Practice address
- 725 NE 166TH St Apt 1
Miami, FL 33162-3683 - Phone
- (786) 273-1535
- NPI assigned
- Dec 12, 2024
- Last updated
- Dec 12, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | BACB1206016 | FL | Primary |
Addresses
Primary practice location
725 NE 166TH St Apt 1
Miami, FL 33162-3683
Mailing address
725 NE 166TH St Apt 1
Miami, FL 33162-3683
Phone (786) 273-1535
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB1206016 | FL | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1154138212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 NE 166TH ST APT 1",
"city": "MIAMI",
"state": "FL",
"postal_code": "331623683",
"telephone_number": "786-273-1535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 NE 166TH ST APT 1",
"city": "MIAMI",
"state": "FL",
"postal_code": "331623683",
"telephone_number": "786-273-1535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHURIN",
"first_name": "THERRY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-12-12",
"last_updated": "2024-12-12",
"certification_date": "2024-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": "BACB1206016",
"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 Dec 12, 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.