Active NPI
Maricelys Otero
- Behavior Technician
- Hialeah, FL
National Provider Identifier
1407204092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 9811 W Okeechobee Rd Apt 102
Hialeah, FL 33016-2139 - Phone
- (786) 709-1921
- Fax
- (305) 742-2190
- NPI assigned
- May 25, 2016
- 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 | Primary |
Addresses
Primary practice location
9811 W Okeechobee Rd Apt 102
Hialeah, FL 33016-2139
Mailing address
9811 W Okeechobee Rd Apt 102
Hialeah, FL 33016-2139
Phone (786) 709-1921
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": "1464134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523491200000",
"number": "1407204092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9811 W OKEECHOBEE RD APT 102",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330162139",
"telephone_number": "786-709-1921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9811 W OKEECHOBEE RD APT 102",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330162139",
"telephone_number": "786-709-1921",
"fax_number": "305-742-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTERO",
"first_name": "MARICELYS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-25",
"last_updated": "2018-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.