Individual provider Active NPI

Liz Shayne Moya Vazquez

  • Behavior Technician
  • Hialeah Gardens, FL
National Provider Identifier
1336856004
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-22-236957 Issued in FL
Practice address
10088 NW 126TH Ter
Hialeah Gardens, FL 33018-7428
Phone
(786) 238-6615
NPI assigned
Nov 2, 2022
Last updated
Jan 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-22-236957 FL Primary

Addresses

Primary practice location

10088 NW 126TH Ter
Hialeah Gardens, FL 33018-7428

Mailing address

10088 NW 126TH Ter
Hialeah Gardens, FL 33018-7428

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
RBT-22-236957FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1336856004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10088 NW 126TH TER",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330187428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10088 NW 126TH TER",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330187428",
            "telephone_number": "786-238-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYA VAZQUEZ",
        "first_name": "LIZ",
        "middle_name": "SHAYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-22-236957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.