Active NPI
Pedro Mena, BA
- Behavior Technician
- Hialeah, FL
National Provider Identifier
1487002663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-144973
- Practice address
- 467 E 27TH St Apt 5
Hialeah, FL 33013-3676 - Phone
- (786) 238-8362
- NPI assigned
- May 30, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Technician | 106S00000X | RBT-20-144973 | FL | Primary |
Addresses
Primary practice location
467 E 27TH St Apt 5
Hialeah, FL 33013-3676
Mailing address
8150 SW 8TH St
Suite 201
Miami, FL 33144
Phone (786) 238-8362
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-144973 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1487002663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8150 SW 8TH ST",
"address_2": "SUITE 201",
"city": "MIAMI",
"state": "FL",
"postal_code": "33144",
"telephone_number": "786-238-8362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "467 E 27TH ST APT 5",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330133676",
"telephone_number": "786-238-8362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENA",
"first_name": "PEDRO",
"credential": "BA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-30",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-20-144973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.