Sury Maria Boutros

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

19-108059 Issued in FL

Practice address

13300 SW 47TH St Apt 202
Miami, FL 33175-5266

Phone

(979) 422-8024

NPI assigned

Sep 24, 2021

Last updated

Sep 24, 2021By the provider in NPPES

Sex

Female

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

State licenses

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1356012793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13300 SW 47TH ST APT 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331755266",
            "telephone_number": "979-422-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13300 SW 47TH ST APT 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331755266",
            "telephone_number": "979-422-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTROS",
        "first_name": "SURY",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "19-108059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camila Bourzac
• Orlando Bourzac, A.R.N.P.
• Mounir Wadih Bousaab, MD
• Anna Elizabeth Boutet, PHARM.D.
• Otto Z Boutin, D.O.
• Melissa Nicole Bouverie
• Daysi Regla Bouza Arguelles, BCABA
• Belkis Bouza Hernandez
• Yadira Bouza Jimenez, FNP
• Mario Bouza Mesa

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.

Verify at the official NPI Registry.