Active NPI
Aida Maria Blanco
- Behavior Technician
- Hialeah, FL
National Provider Identifier
1205485679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT1865567
- Practice address
- 18220 NW 59TH Ave Apt 104
Hialeah, FL 33015-5683 - Phone
- (786) 346-9998
- NPI assigned
- Sep 9, 2019
- Sex
- Female
- 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 | RBT1865567 | FL | Primary |
Addresses
Primary practice location
18220 NW 59TH Ave Apt 104
Hialeah, FL 33015-5683
Mailing address
18220 NW 59TH Ave Apt 104
Hialeah, FL 33015-5683
Phone (786) 346-9998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022970600 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aidamblanco1@yahoo.es | Direct |
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 |
|---|---|---|---|
| RBT1865567 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647302400000",
"number": "1205485679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18220 NW 59TH AVE APT 104",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330155683",
"telephone_number": "786-346-9998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18220 NW 59TH AVE APT 104",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330155683",
"telephone_number": "786-346-9998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCO",
"first_name": "AIDA",
"middle_name": "MARIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-09",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT1865567",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022970600",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aidamblanco1@yahoo.es",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1555 W 37th St Apt 204",
"city": "Hialeah",
"state": "FL",
"country_code": "US",
"postal_code": "330124690",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.