Active NPI
Maylen Balart Cid
- Behavior Analyst
- Miami, FL
National Provider Identifier
1417489303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-57365
- Practice address
- 10300 SW 72ND St Ste 114
Miami, FL 33173-3038 - Phone
- (305) 508-5580
- NPI assigned
- Mar 30, 2017
- Last updated
- Feb 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-57365 | FL | Primary |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
10300 SW 72ND St Ste 114
Miami, FL 33173-3038
Mailing address
4575 SE 4575 S.E. Dixie Highway
Stuart, FL 34997
Other practice location 1
419 W. 49th St. Ste 210 Hialeah
Miami, FL 33012
Phone (855) 832-6727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020436000 | 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MBC Behavior Analysis LLC | Behavior Analyst | Current | Accepting new patients |
| Behavior Therapy of Florida Inc. | Behavior Analyst | Past | Accepting new patients |
Locations
12392 SW 82nd Ave
Ste 12392A
Pinecrest, FL 33156
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Pinecrest, FL
- NPI 1225810674
-
- Community/Behavioral Health Agency
- Naples, FL
- NPI 1750023370
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1417489303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4575 SE 4575 S.E. DIXIE HIGHWAY",
"city": "STUART",
"state": "FL",
"postal_code": "34997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 SW 72ND ST STE 114",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733038",
"telephone_number": "305-508-5580"
}
],
"practiceLocations": [
{
"address_1": "419 W. 49th St. Ste 210 Hialeah",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "33012",
"country_code": "US",
"telephone_number": "855-832-6727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALART CID",
"first_name": "MAYLEN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-30",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-21-57365",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020436000",
"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 Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.