Individual provider Active NPI

Javier Vila

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1235598764
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
20-120442 Issued in FL
Practice address
16931 SW 137TH CT
Miami, FL 33177-6404
Phone
(786) 354-3089
NPI assigned
Feb 11, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X 20-120442 FL Primary

Addresses

Primary practice location

16931 SW 137TH CT
Miami, FL 33177-6404

Mailing address

16931 SW 137TH CT
Miami, FL 33177-6404

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
20-120442FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1235598764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16931 SW 137TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331776404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16931 SW 137TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331776404",
            "telephone_number": "786-354-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILA",
        "first_name": "JAVIER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-11",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "20-120442",
            "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 Mar 10, 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.