Individual provider Active NPI

Nathaly Morales Marin

  • Behavior Technician
  • Miami Lakes, FL
National Provider Identifier
1457977068
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-123108 Issued in FL
Practice address
13920 Lake Placid CT Apt B28
Miami Lakes, FL 33014-3095
Phone
(786) 762-7099
NPI assigned
Jun 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-123108 FL Primary

Addresses

Primary practice location

13920 Lake Placid CT Apt B28
Miami Lakes, FL 33014-3095

Mailing address

13920 Lake Placid CT Apt B28
Miami Lakes, FL 33014-3095
Phone (786) 762-7099

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

LicenseStateTypeSpecialty
RBT-20-123108FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1457977068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13920 LAKE PLACID CT APT B28",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330143095",
            "telephone_number": "786-762-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13920 LAKE PLACID CT APT B28",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330143095",
            "telephone_number": "786-762-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES MARIN",
        "first_name": "NATHALY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-123108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.