Mirellie Garcia-Padin, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

4276 Cole Ave
Suffolk, VA 23435-2413

Phone

(305) 316-5479

NPI assigned

Jun 20, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1225769474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4276 COLE AVE",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352413",
            "telephone_number": "305-316-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4276 COLE AVE",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352413",
            "telephone_number": "305-316-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-PADIN",
        "first_name": "MIRELLIE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Yvonne Futrell, LPC
• Milton T Futrell Jr.
• Aprele Gaddie
• Brittny Jean Gainey, DSW, LCSW
• Ishan Gandhi, OD
• Nicole Garcia, BCABA
• William John Gardella, CRNA
• Amy Gardill, M.S. BCBA
• Gabrielle Elizabeth Gardner, BSN, RN
• Jessica Elena Gardner, M.D.

• Behavior Analyst in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Behavior Analyst in Virginia

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

Verify at the official NPI Registry.