Active NPI
Marilin Teresa Travieso
- Behavior Technician
- Homestead, FL
National Provider Identifier
1437762754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-132282
- Practice address
- 24613 SW 112TH PL
Homestead, FL 33032-4624 - Phone
- (786) 594-1468
- NPI assigned
- Aug 26, 2020
- Last updated
- Aug 26, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-132282 | FL | Primary |
Addresses
Primary practice location
24613 SW 112TH PL
Homestead, FL 33032-4624
Mailing address
24613 SW 112TH PL
Homestead, FL 33032-4624
Phone (786) 594-1468
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-20-132282 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598400000000",
"number": "1437762754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24613 SW 112TH PL",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330324624",
"telephone_number": "786-594-1468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24613 SW 112TH PL",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330324624",
"telephone_number": "786-594-1468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVIESO",
"first_name": "MARILIN",
"middle_name": "TERESA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-26",
"last_updated": "2020-08-26",
"certification_date": "2020-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-20-132282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
- Total Renal Care, Inc. (Keys Gate Dialysis)
- TR Health Services LLC
- Virginia Tracy-Fallacara
- Anaelis Travieso Sardinas, FNP
- Aymee Travieso
- Treasure Learning, Corp (Lingo Therapy Center)
- Tree of Life Community Medical Center Inc
- Yordenky Lisbet Trejo Miranda, RBT
- Faustino Trejo Jr.
- Beatriz Treto Monzon, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.