Individual provider Active NPI

Mayerling Medina Liriano

  • Assistant Behavior Analyst
  • Boynton Beach, FL
National Provider Identifier
1437616893
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-23-14851 Issued in FL
Practice address
626 SW 21St Cir
Boynton Beach, FL 33426-4627
Phone
(561) 444-6460
NPI assigned
Feb 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-23-14851 FL Primary

Addresses

Primary practice location

626 SW 21St Cir
Boynton Beach, FL 33426-4627

Mailing address

626 SW 21St Cir
Boynton Beach, FL 33426-4627
Phone (561) 444-6460

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": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1437616893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 SW 21ST CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334264627",
            "telephone_number": "561-444-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 SW 21ST CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334264627",
            "telephone_number": "561-444-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA LIRIANO",
        "first_name": "MAYERLING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-23-14851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.