Individual provider Active NPI

Merly De la Fuente Zabala

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1336679562
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
20-117081 Issued in FL
Practice address
8365 SW 152ND Ave Apt C-115
Miami, FL 33193-4028
Phone
(786) 366-6145
NPI assigned
Jun 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Behavior Technician 106S00000X 20-117081 FL Primary

Addresses

Primary practice location

8365 SW 152ND Ave Apt C-115
Miami, FL 33193-4028

Mailing address

8365 SW 152ND Ave Apt C-115
Miami, FL 33193-4028
Phone (786) 366-6145

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
20-117081FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
De la Fuente Behavioral Services LLC Behavior Analyst CurrentSince Dec 13, 2022 Accepting new patients
Heartwell Home Health Care Corp. Behavior Analyst PastSince Jul 1, 2022 Accepting new patients
Heartwell Home Health Care Corp. PastSince Jul 1, 2022 Accepting new patients

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": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1336679562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8365 SW 152ND AVE APT C-115",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331934028",
            "telephone_number": "786-366-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8365 SW 152ND AVE APT C-115",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331934028",
            "telephone_number": "786-366-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA FUENTE ZABALA",
        "first_name": "MERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "20-117081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.