Individual provider Active NPI

Edgar Ayan Marichal Ramos

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1467213652
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB1023706 Issued in FL
Practice address
8300 NW 53Rd St Ste 350
Miami, FL 33166-7712
Phone
(305) 776-0728
NPI assigned
Jan 16, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X BACB1023706 FL Primary

Addresses

Primary practice location

8300 NW 53Rd St Ste 350
Miami, FL 33166-7712

Mailing address

244 NW 57TH Ave Apt 5
Miami, FL 33126-4818
Phone (786) 593-4565

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
BACB1023706FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Plus Inc, CurrentSince Jan 21, 2024 Accepting new patients
Peace of Mind Mental Health Services Corp Single Specialty Past Accepting new patients

Locations

8300 NW 53rd St
Ste 350
Miami, FL 33166
Phone (305) 742-2195

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": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1467213652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 NW 57TH AVE APT 5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331264818",
            "telephone_number": "786-593-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 NW 53RD ST STE 350",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331667712",
            "telephone_number": "305-776-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARICHAL RAMOS",
        "first_name": "EDGAR",
        "middle_name": "AYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB1023706",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 16, 2024; 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.