Active NPI
Maria E Sanchez Carrillo
- Assistant Behavior Analyst
- Delray Beach, FL
National Provider Identifier
1326691353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0-21-12778
- Practice address
- 5180 W Atlantic Ave Ste 112
Delray Beach, FL 33484-8103 - Phone
- (561) 674-9996
- Fax
- (561) 450-6972
- NPI assigned
- Jul 18, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-91316 | FL | |
| Assistant Behavior Analyst | 106E00000X | 0-21-12778 | FL | Primary |
Addresses
Primary practice location
5180 W Atlantic Ave Ste 112
Delray Beach, FL 33484-8103
Mailing address
5180 W Atlantic Ave Ste 112
Delray Beach, FL 33484-8103
Phone (561) 674-9996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-19-91316 | Other | FL | BCBA BOARD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-91316 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634601600000",
"number": "1326691353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5180 W ATLANTIC AVE STE 112",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334848103",
"telephone_number": "561-674-9996",
"fax_number": "561-450-6972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5180 W ATLANTIC AVE STE 112",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334848103",
"telephone_number": "561-674-9996",
"fax_number": "561-450-6972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ CARRILLO",
"first_name": "MARIA",
"middle_name": "E",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-18",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-19-91316",
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": "0-21-12778",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBA BOARD",
"identifier": "RBT-19-91316",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.