Individual provider Active NPI

Mirelis Ortiz Abella, MSC. BCBA

  • Behavior Analyst
  • Coral Gables, FL
National Provider Identifier
1194328161
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
12045809 Issued in FL
Practice address
220 SW 52ND Ave
Coral Gables, FL 33134-1219
Phone
(786) 218-0449
NPI assigned
Nov 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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 12045809 FL Primary

Addresses

Primary practice location

220 SW 52ND Ave
Coral Gables, FL 33134-1219

Mailing address

220 SW 52ND Ave
Coral Gables, FL 33134-1219
Phone (786) 218-0449

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
12045809FLMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Hands Behavior Services Inc Behavior Analyst Current Accepting new patients

Locations

8785 SW 165th Ave
Ste 200
Miami, FL 33193
Phone (786) 554-0008

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": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1194328161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SW 52ND AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341219",
            "telephone_number": "786-218-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SW 52ND AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341219",
            "telephone_number": "786-218-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ ABELLA",
        "first_name": "MIRELIS",
        "credential": "MSC. BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "12045809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.