Individual provider Active NPI

Darlys Gutierrez Ibanez, BCBA

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1215403688
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-43962 Issued in FL
Practice address
10073 SW 157TH CT
Miami, FL 33196-6141
Phone
(786) 308-0085
NPI assigned
Oct 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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 1-20-43962 FL Primary

Addresses

Primary practice location

10073 SW 157TH CT
Miami, FL 33196-6141

Mailing address

10073 SW 157TH CT
Miami, FL 33196-6141
Phone (786) 308-0085

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

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Golden Rule Services Corp Behavior Analyst CurrentSince Nov 13, 2022 Accepting new patients

Locations

8501 SW 124th Ave
Ste 205B
Miami, FL 33183
Phone (786) 308-0085

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": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1215403688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10073 SW 157TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331966141",
            "telephone_number": "786-308-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10073 SW 157TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331966141",
            "telephone_number": "786-308-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ IBANEZ",
        "first_name": "DARLYS",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-20-43962",
            "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 Jan 16, 2023; 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.