Individual provider Active NPI

Miriam Nineth Fuentes Sandoval

  • Behavior Technician
  • Palm Springs, FL
National Provider Identifier
1235745589
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT20121128 Issued in FL
Practice address
3175 S Congress Ave Ste 103
Palm Springs, FL 33461-2502
Phone
(561) 729-6631
Fax
(561) 771-6630
NPI assigned
Sep 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT20121128 FL Primary

Addresses

Primary practice location

3175 S Congress Ave Ste 103
Palm Springs, FL 33461-2502

Mailing address

2915 Hope Valley St Apt 603
West Palm Beach, FL 33411-4803
Phone (561) 727-7042

Other practice location 1

2328 10th Ave N Ste 501
Lake Worth, FL 33461-6615
Phone (561) 370-3346

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
RBT20121128FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
L & M Behavior Therapy LLC PastSince Oct 20, 2024 Accepting new patients

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": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1235745589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 HOPE VALLEY ST APT 603",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334114803",
            "telephone_number": "561-727-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 S CONGRESS AVE STE 103",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612502",
            "telephone_number": "561-729-6631",
            "fax_number": "561-771-6630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2328 10th Ave N Ste 501",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334616615",
            "country_code": "US",
            "telephone_number": "561-370-3346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUENTES SANDOVAL",
        "first_name": "MIRIAM",
        "middle_name": "NINETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT20121128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.