Individual provider Active NPI

Myra Duarte, MS

  • Behavior Analyst
  • Deerfield Beach, FL
National Provider Identifier
1184120966
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-04-1673 Issued in FL
Practice address
1239 E Newport Center Dr Ste 101
Deerfield Beach, FL 33442-7711
Phone
(754) 444-3707
Fax
(754) 600-1967
NPI assigned
Apr 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-04-1673 FL Primary

Addresses

Primary practice location

1239 E Newport Center Dr Ste 101
Deerfield Beach, FL 33442-7711

Mailing address

1239 E Newport Center Dr Ste 101
Deerfield Beach, FL 33442-7711
Phone (754) 444-3707

Other practice location 1

5400 S University Dr Ste 203
Davie, FL 33328-5309
Phone (954) 513-9545

Other practice location 2

1239 E Newport Center Dr Ste 101
Deerfield Beach, FL 33442-7711
Phone (754) 444-3707

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
My Favorite Therapists, LLC Behavior Analyst PastSince Oct 19, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1184120966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 E NEWPORT CENTER DR STE 101",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427711",
            "telephone_number": "754-444-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 E NEWPORT CENTER DR STE 101",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427711",
            "telephone_number": "754-444-3707",
            "fax_number": "754-600-1967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5400 S University Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333285309",
            "country_code": "US",
            "telephone_number": "954-513-9545",
            "fax_number": "954-533-8972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1239 E Newport Center Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334427711",
            "country_code": "US",
            "telephone_number": "754-444-3707",
            "fax_number": "754-600-1967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUARTE",
        "first_name": "MYRA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-04-1673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.