Individual provider Active NPI

Juan Miguel Cortada

  • Assistant Behavior Analyst
  • South Miami, FL
National Provider Identifier
1316695448
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
BACB1071283 Issued in FL
Practice address
7800 SW 57TH Ave Ste 205
South Miami, FL 33143-5542
Phone
(305) 854-2471
NPI assigned
Mar 17, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BACB1071283 FL
Case Manager/Care Coordinator 171M00000X
Assistant Behavior Analyst 106E00000X BACB1071283 FL Primary

Addresses

Primary practice location

7800 SW 57TH Ave Ste 205
South Miami, FL 33143-5542

Mailing address

7800 SW 85TH Ave
205
South Miami, FL 33143-5542
Phone (786) 260-3561

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
BACB1071283FLMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Therapy Connection CurrentSince Dec 1, 2024 Accepting new patients

Locations

7800 SW 57th Ave
Ste 205
South Miami, FL 33143
Phone (305) 854-2471

Organizations & group practices 1

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": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1316695448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SW 85TH AVE",
            "address_2": "205",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435542",
            "telephone_number": "786-260-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SW 57TH AVE STE 205",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435542",
            "telephone_number": "305-854-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTADA",
        "first_name": "JUAN",
        "middle_name": "MIGUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-17",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB1071283",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "BACB1071283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.