Individual provider Active NPI

Carlos Rafael Machado Colon, BCABA

  • Assistant Behavior Analyst
  • Orlando, FL
National Provider Identifier
1235685322
Registry record updated Apr 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
Practice address
12953 Downstream Cir
Orlando, FL 32828-9148
Phone
(321) 616-9794
Fax
(321) 241-1171
NPI assigned
Aug 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X Primary

Addresses

Primary practice location

12953 Downstream Cir
Orlando, FL 32828-9148

Mailing address

12953 Downstream Cir
Orlando, FL 32828-9148
Phone (321) 616-9794

Other identifiers 1

IdentifierTypeStateIssuer
019248800MedicaidFL

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
Achieve Pediatric Therapy, Inc Assistant Behavior Analyst Past Accepting new patients
The Sonder Academy PastSince Jun 21, 2020 Accepting new patients

Organizations & group practices 2

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": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712966400000",
    "number": "1235685322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12953 DOWNSTREAM CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328289148",
            "telephone_number": "321-616-9794",
            "fax_number": "321-241-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12953 DOWNSTREAM CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328289148",
            "telephone_number": "321-616-9794",
            "fax_number": "321-241-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHADO COLON",
        "first_name": "CARLOS",
        "middle_name": "RAFAEL",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-29",
        "last_updated": "2024-04-13",
        "certification_date": "2024-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019248800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2024; 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.