Individual provider Active NPI

Mayrelis Rodriguez Chaviano

  • Behavior Analyst
  • Homestead, FL
National Provider Identifier
1164904876
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-24-76928 Issued in FL
Practice address
28802 SW 160TH CT
Homestead, FL 33033-1162
Phone
(786) 379-4261
NPI assigned
Aug 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 02112458 FL
Behavior Technician 106S00000X
Behavior Analyst 103K00000X 1-24-76928 FL Primary

Addresses

Primary practice location

28802 SW 160TH CT
Homestead, FL 33033-1162

Mailing address

28802 SW 160TH CT
Homestead, FL 33033-1162
Phone (786) 379-4261

Other practice location 1

1510 E Mowry Dr Apt 107
Homestead, FL 33033
Phone (789) 379-4261

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

LicenseStateTypeSpecialty
02112458FLMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Therapy Solutions Corp Behavior Analyst Current Accepting new patients
Myla Behavior Services LLC Behavior Analyst CurrentSince Feb 2, 2025 Accepting new patients
Two Hearts MHC Inc Behavior Analyst Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1164904876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28802 SW 160TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330331162",
            "telephone_number": "786-379-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28802 SW 160TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330331162",
            "telephone_number": "786-379-4261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1510 E Mowry Dr Apt 107",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "33033",
            "country_code": "US",
            "telephone_number": "789-379-4261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ CHAVIANO",
        "first_name": "MAYRELIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "02112458",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-24-76928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.