Active NPI
Mariam Luis
- Behavior Technician
- Homestead, FL
National Provider Identifier
1275376840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-353302
- Practice address
- 14841 Lincoln Dr
Homestead, FL 33033-2833 - Phone
- (786) 622-3232
- NPI assigned
- Jun 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-353302 | Primary |
Addresses
Primary practice location
14841 Lincoln Dr
Homestead, FL 33033-2833
Mailing address
525 NW 27TH Ave Ste 100
Miami, FL 33125-3039
Phone (305) 200-5073
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1275376840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 NW 27TH AVE STE 100",
"city": "MIAMI",
"state": "FL",
"postal_code": "331253039",
"telephone_number": "305-200-5073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14841 LINCOLN DR",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330332833",
"telephone_number": "786-622-3232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUIS",
"first_name": "MARIAM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-13",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-24-353302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.