Individual provider Active NPI

Simon Roberto Cabrera Molina

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1245079185
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
24-347074 Issued in FL
Practice address
642 NW 5TH Ave Apt B210
Miami, FL 33136-3295
Phone
(786) 370-9050
NPI assigned
May 21, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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 24-347074 FL Primary

Addresses

Primary practice location

642 NW 5TH Ave Apt B210
Miami, FL 33136-3295

Mailing address

642 NW 5TH Ave Apt B210
Miami, FL 33136-3295
Phone (786) 370-9050

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
24-347074FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1245079185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 NW 5TH AVE APT B210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331363295",
            "telephone_number": "786-370-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 NW 5TH AVE APT B210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331363295",
            "telephone_number": "786-370-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA MOLINA",
        "first_name": "SIMON",
        "middle_name": "ROBERTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "24-347074",
            "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 May 21, 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.