Individual provider Active NPI

Maikel Martin Osoria

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1417566787
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
MH27673 Issued in FL
Practice address
1000 Brickell Ave Ste 1100
Miami, FL 33131-3014
Phone
(305) 562-6072
NPI assigned
Jul 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH27673 FL
Behavior Analyst 103K00000X MH27673 FL Primary

Addresses

Primary practice location

1000 Brickell Ave Ste 1100
Miami, FL 33131-3014

Mailing address

11849 SW 99TH LN
Miami, FL 33186-8502
Phone (305) 744-1711

Other practice location 1

8491 NW 17th St
Doral, FL 33126-1025
Phone (305) 456-5542

Other identifiers 1

IdentifierTypeStateIssuer
107375800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260615004109 FL Practitioner - Mental Health Counselor 7416429022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11849 SW 99TH LN
Miami, FL 33186-8502

2740 SW 130TH Ave
Miami, FL 33175-2020

3621 SW 107TH Ave
Miami, FL 33165-3636

7600 W 20TH Ave
Suite 213
Hialeah, FL 33016-5513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH27673FLMDMental Health Counselor
RBT-20-116641FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
J & M ABA Services LLC Behavior Analyst PastSince Jul 1, 2024 Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1417566787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11849 SW 99TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331868502",
            "telephone_number": "305-744-1711",
            "fax_number": "305-747-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BRICKELL AVE STE 1100",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313014",
            "telephone_number": "305-562-6072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8491 NW 17th St",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331261025",
            "country_code": "US",
            "telephone_number": "305-456-5542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN OSORIA",
        "first_name": "MAIKEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-23",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH27673",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "MH27673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107375800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.