Individual provider Active NPI

Ileana Forteza

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1205396181
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-53540 Issued in FL
Practice address
9311 SW 170TH Psge
Miami, FL 33196-2959
Phone
(786) 302-9732
NPI assigned
Mar 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 106E00000X 0-1809223 FL
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 1-21-53540 FL Primary

Addresses

Primary practice location

9311 SW 170TH Psge
Miami, FL 33196-2959

Mailing address

6501 NW 36TH St Ste 411
Virginia Gardens, FL 33166-6964
Phone (786) 522-7203

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
0-1809223FLMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Beehavior Therapy Services Inc Behavior Analyst Current Accepting new patients

Locations

7001 SW 97th Ave
Ste 203
Miami, FL 33173
Phone (305) 987-6321

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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1205396181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 NW 36TH ST STE 411",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666964",
            "telephone_number": "786-522-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9311 SW 170TH PSGE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331962959",
            "telephone_number": "786-302-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTEZA",
        "first_name": "ILEANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-1809223",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-53540",
            "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 Oct 6, 2021; 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.