Active NPI
Jesus David Alfonso Cardenas
- Behavior Technician
- Miami, FL
National Provider Identifier
1174328900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 1193940
- Practice address
- 9380 SW 72ND St Ste B224
Miami, FL 33173-5460 - Phone
- (786) 353-2593
- NPI assigned
- Feb 17, 2025
- Sex
- Male
- 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 Technician | 106S00000X | 1193940 | FL | Primary |
Addresses
Primary practice location
9380 SW 72ND St Ste B224
Miami, FL 33173-5460
Mailing address
1431 W 37TH St
Hialeah, FL 33012-4738
Phone (561) 528-6499
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 |
|---|---|---|---|
| 1193940 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1174328900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 W 37TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330124738",
"telephone_number": "561-528-6499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9380 SW 72ND ST STE B224",
"city": "MIAMI",
"state": "FL",
"postal_code": "331735460",
"telephone_number": "786-353-2593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALFONSO CARDENAS",
"first_name": "JESUS",
"middle_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-17",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "1193940",
"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 Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.