Marcos Pena

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-63217 Issued in FL

Practice address

18220 SW 97TH Ave
Palmetto Bay, FL 33157-5502

Phone

(786) 592-1574

Fax

(305) 489-5972

NPI assigned

Oct 20, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Brenda Rivera, Psy.D., P.a.

  • Community/Behavioral Health Agency
  • Palmetto Bay, FL
  • NPI 1710676093
  NPD
• C & a Counseling and Community Services

  • Behavior Analyst
  • Miami, FL
  • NPI 1306361183
  NPD (past)
• Esperanza Group LLC

  • Case Management Agency
  • Miami, FL
  • NPI 1386269496

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1295334332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18220 SW 97TH AVE",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575502",
            "telephone_number": "786-592-1574",
            "fax_number": "305-489-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18220 SW 97TH AVE",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331575502",
            "telephone_number": "786-592-1574",
            "fax_number": "305-489-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "MARCOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-20",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-129565",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-22-63217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Behavioral Services
• Pediatric Dental Center of Palmetto Bay Inc
• Pediatric Specialty Group, Inc.
• Minssu Pena Castro
• Yuliet Pena Macias
• Martha Isabel Penaranda, MS
• Benjamin Pepin, DC
• Somairi Pereira
• Angel Roman Perez Castillo
• Hannah Perez Chavez, MD

• Behavior Analyst in Palmetto Bay, FL
• Providers in Palmetto Bay, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.