Active NPI
Marielys Carmona Ramos
- Behavior Technician
- Homestead, FL
National Provider Identifier
1366197105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 14762 SW 297TH Ter
Homestead, FL 33033-3840 - Phone
- (786) 277-6257
- NPI assigned
- Feb 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | FL | Primary |
Addresses
Primary practice location
14762 SW 297TH Ter
Homestead, FL 33033-3840
Mailing address
14762 SW 297TH Ter
Homestead, FL 33033-3840
Phone (786) 277-6257
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-20-147207 | Other | FL | BEHAVIOR ANALYST CERTIFICATION BOARD |
| 112179000 | Medicaid | FL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1366197105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14762 SW 297TH TER",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330333840",
"telephone_number": "786-277-6257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14762 SW 297TH TER",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330333840",
"telephone_number": "786-277-6257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMONA RAMOS",
"first_name": "MARIELYS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-21",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
"identifier": "RBT-20-147207",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112179000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.