Mariam Lucia Machado, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BCBA-1-25-83209 Issued in FL

Practice address

5790 Meditation Dr
Clermont, FL 34714-8138

Phone

(786) 641-8754

NPI assigned

Oct 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Soaring Horizon LLC

  • Community/Behavioral Health Agency
  • Clermont, FL
  • NPI 1003746496
  NPD Authorized official

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1477028728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5790 MEDITATION DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347148138",
            "telephone_number": "786-641-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5790 MEDITATION DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347148138",
            "telephone_number": "786-641-8754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4321 SW 26th St",
            "address_purpose": "LOCATION",
            "city": "West Park",
            "state": "FL",
            "postal_code": "330234423",
            "country_code": "US",
            "telephone_number": "786-641-8754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8001 SW 36th St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333281915",
            "country_code": "US",
            "telephone_number": "954-577-7790",
            "fax_number": "954-577-7780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5055 E 8th Ln",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330131709",
            "country_code": "US",
            "telephone_number": "786-641-8754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACHADO",
        "first_name": "MARIAM",
        "middle_name": "LUCIA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "BCABA-0-21-12261",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-65946",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "BCBA-1-25-83209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Clermont, FL
• Providers in Clermont, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.