Aqua del Rey Behavior Therapy

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

AQUA DEL REY BEHAVIOR THERAPY

Practice address

2350 SW 87TH Ave Suite K
Miami, FL 33165-1272

Phone

(786) 389-9480

NPI assigned

Dec 20, 2023

Organization subpart

No

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

Authorized official

Name

Meylin Rodriguez del Rey Martinez, BCBANPI 1164972543

Title

Owner

Phone

(786) 389-9480

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meylin Rodriguez del Rey Martinez

  • Behavior Analyst
  • Miami, FL
  • NPI 1164972543
  NPD Authorized official

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1255109161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14142 SW 93RD LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861272",
            "telephone_number": "786-389-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 SW 87TH AVE SUITE K",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331651272",
            "telephone_number": "786-389-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUA DEL REY BEHAVIOR THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ DEL REY MARTINEZ",
        "authorized_official_first_name": "MEYLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-389-9480",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.