Magalys Perez Mirabal, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB594343 Issued in FL

Practice address

4576 Belvedere Rd Apt 2
Haverhill, FL 33415-1381

Phone

(561) 860-6810

NPI assigned

Feb 22, 2021

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Feb 22, 2021.

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1366036170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4576 BELVEDERE RD APT 2",
            "city": "HAVERHILL",
            "state": "FL",
            "postal_code": "334151381",
            "telephone_number": "561-860-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4576 BELVEDERE RD APT 2",
            "city": "HAVERHILL",
            "state": "FL",
            "postal_code": "334151381",
            "telephone_number": "561-860-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ MIRABAL",
        "first_name": "MAGALYS",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB594343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mb5618606810@icloud.com",
            "affiliation": "N",
            "address_1": "4576 Belvedere Rd Apt 2",
            "city": "Haverhill",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334151381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Haverhill, FL
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.