Individual provider Active NPI

Monica Yared Quinones

  • Assistant Behavior Analyst
  • Casselberry, FL
National Provider Identifier
1366947483
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-18-8655 Issued in FL
Practice address
148 Wilshire Blvd
Casselberry, FL 32707-5372
Phone
(866) 411-6619
NPI assigned
Mar 29, 2018
Last updated
Jan 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-18-8655 FL Primary

Addresses

Primary practice location

148 Wilshire Blvd
Casselberry, FL 32707-5372

Mailing address

1910 Brockridge Rd
Kindred, FL 34744-6005
Phone (407) 572-4950

Other practice location 1

1200 N Central Ave
Kissimmee, FL 34741-4450
Phone (866) 411-6619

Other practice location 2

1910 Brockridge Rd
Kindred, FL 34744-6005
Phone (407) 572-4950

Other identifiers 1

IdentifierTypeStateIssuer
018112700MedicaidFL

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": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1366947483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 BROCKRIDGE RD",
            "city": "KINDRED",
            "state": "FL",
            "postal_code": "347446005",
            "telephone_number": "407-572-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 WILSHIRE BLVD",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075372",
            "telephone_number": "866-411-6619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N Central Ave",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414450",
            "country_code": "US",
            "telephone_number": "866-411-6619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 Brockridge Rd",
            "address_purpose": "LOCATION",
            "city": "Kindred",
            "state": "FL",
            "postal_code": "347446005",
            "country_code": "US",
            "telephone_number": "407-572-4950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINONES",
        "first_name": "MONICA",
        "middle_name": "YARED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-18-8655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018112700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.