Individual provider Active NPI

Carlos Javier Suarez, BCABA

  • Assistant Behavior Analyst
  • Miami, FL
National Provider Identifier
1386193415
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-16-7404 Issued in FL
Practice address
12125 SW 101St St
Miami, FL 33186-2626
Phone
(305) 283-6739
NPI assigned
Sep 30, 2016
Last updated
Sep 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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 0-16-7404 FL Primary

Addresses

Primary practice location

12125 SW 101St St
Miami, FL 33186-2626

Mailing address

12125 SW 101St St
Miami, FL 33186-2626
Phone (305) 283-6739

Other identifiers 1

IdentifierTypeStateIssuer
681493096MedicaidFL

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

Practice roles

OrganizationSpecialtyStatusNew patients
Friendly Hands, Inc Current Accepting new patients

Locations

14331 SW 120th St
Ste 208
Miami, FL 33186
Phone (305) 408-9649

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1386193415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12125 SW 101ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862626",
            "telephone_number": "305-283-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12125 SW 101ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862626",
            "telephone_number": "305-283-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "CARLOS",
        "middle_name": "JAVIER",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-16-7404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "681493096",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.