Active NPI
Neddiel Villarreal
- Assistant Behavior Analyst
- Miami Springs, FL
National Provider Identifier
1407689888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- RBT-24-369489
- Practice address
- 249 S Royal Poinciana Blvd Apt 109
Miami Springs, FL 33166-6183 - Phone
- (786) 256-8581
- NPI assigned
- Aug 21, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | RBT-24-369489 | FL | Primary |
Addresses
Primary practice location
249 S Royal Poinciana Blvd Apt 109
Miami Springs, FL 33166-6183
Mailing address
249 S Royal Poinciana Blvd Apt 109
Miami Springs, FL 33166-6183
Phone (786) 256-8581
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-369489 | FL | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1407689888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "249 S ROYAL POINCIANA BLVD APT 109",
"city": "MIAMI SPRINGS",
"state": "FL",
"postal_code": "331666183",
"telephone_number": "786-256-8581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 S ROYAL POINCIANA BLVD APT 109",
"city": "MIAMI SPRINGS",
"state": "FL",
"postal_code": "331666183",
"telephone_number": "786-256-8581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLARREAL",
"first_name": "NEDDIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-21",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": "RBT-24-369489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.