Matias Alen Nicola

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

323 NE 30TH Ave
Homestead, FL 33033-7089

Phone

(786) 683-3194

NPI assigned

Jun 20, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1346971405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 NE 30TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337089",
            "telephone_number": "786-683-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 NE 30TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337089",
            "telephone_number": "786-683-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLA",
        "first_name": "MATIAS",
        "middle_name": "ALEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nexus Medical Center of Homestead LLC
• Sariela Neyra Alvarez
• Isabel Neyra Contador
• Rosalpina Nicaragua
• Randy Nicholson, RPH
• Juliet Nicot Garcia
• Yoselin Niebla, APRN, FNP-C
• Catherine K Nieto Chavez
• Patricia Nieto Hernandez
• Yulia Nieto Vazquez

• Behavior Technician in Homestead, FL
• Providers in Homestead, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.