Active NPI
Jorge Luis Maceda, MS, BCBA
- Behavior Analyst
- Miami, FL
National Provider Identifier
1396990487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-56278
- Practice address
- 8401 NW 8TH St Apt 305
Miami, FL 33126-3767 - Phone
- (786) 357-7808
- Fax
- (305) 675-4632
- NPI assigned
- Nov 18, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Behavior Analyst | 103K00000X | 1-21-56278 | FL | Primary |
Addresses
Primary practice location
8401 NW 8TH St Apt 305
Miami, FL 33126-3767
Mailing address
8401 NW 8TH St Apt 305
Miami, FL 33126-3767
Phone (786) 357-7808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014134000 | 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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Behavior Institute Inc | Behavior Analyst | Current | Accepting new patients |
| ABA Institute Inc. | Behavior Analyst | Current | Accepting new patients |
Locations
1634 SE 47th St
Ste 19
Cape Coral, FL 33904
Phone (239) 471-0195
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Cape Coral, FL
- NPI 1740911551
-
- Behavior Analyst
- Fort Myers, FL
- NPI 1609518257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639094400000",
"number": "1396990487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8401 NW 8TH ST APT 305",
"city": "MIAMI",
"state": "FL",
"postal_code": "331263767",
"telephone_number": "786-357-7808",
"fax_number": "305-675-4632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8401 NW 8TH ST APT 305",
"city": "MIAMI",
"state": "FL",
"postal_code": "331263767",
"telephone_number": "786-357-7808",
"fax_number": "305-675-4632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACEDA",
"first_name": "JORGE",
"middle_name": "LUIS",
"credential": "MS, BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-18",
"last_updated": "2021-12-10",
"certification_date": "2021-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-21-56278",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014134000",
"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 Dec 10, 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.