Active NPI
Yamisela Miranda Roque, RBT
- Behavior Analyst
- Miami, FL
National Provider Identifier
1396461141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-77442
- Practice address
- 15331 SW 143Rd St
Miami, FL 33196-2879 - Phone
- (561) 635-1674
- NPI assigned
- Oct 13, 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 Analyst | 103K00000X | 1-24-77442 | FL | Primary |
Addresses
Primary practice location
15331 SW 143Rd St
Miami, FL 33196-2879
Mailing address
15331 SW 143Rd St
Miami, FL 33196-2879
Phone (561) 635-1674
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115952900 | 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": "1665619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731801600000",
"number": "1396461141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15331 SW 143RD ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331962879",
"telephone_number": "561-635-1674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15331 SW 143RD ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331962879",
"telephone_number": "561-635-1674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA ROQUE",
"first_name": "YAMISELA",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-13",
"last_updated": "2024-11-17",
"certification_date": "2024-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-24-77442",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115952900",
"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 Nov 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.