Individual provider Active NPI

Elyam Munoz

  • Behavior Technician
  • Miami Lakes, FL
National Provider Identifier
1265950562
Registry record updated Sep 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
6625 Miami Lakes Dr Ste 226
Miami Lakes, FL 33014-2761
Phone
(305) 812-3798
Fax
(305) 777-3885
NPI assigned
Sep 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2017

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 FL Primary

Addresses

Primary practice location

6625 Miami Lakes Dr Ste 226
Miami Lakes, FL 33014-2761

Mailing address

7777 NW 169TH Ter
Miami Lakes, FL 33016-8424
Phone (305) 812-3798

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
JCV Homemaker and Companion Services LLC CurrentSince May 17, 2020 Accepting new patients
VR Aesthetics Center LLC Current Accepting new patients
JCV Behavior Services LLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

6625 Miami Lakes Dr
Ste 226
Miami Lakes, FL 33014
Phone (305) 777-3884

Organizations & group practices 3

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": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504742400000",
    "number": "1265950562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 NW 169TH TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330168424",
            "telephone_number": "305-812-3798",
            "fax_number": "305-777-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 MIAMI LAKES DR STE 226",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142761",
            "telephone_number": "305-812-3798",
            "fax_number": "305-777-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "ELYAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; 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.