Individual provider Active NPI

Annelisse Marrero Moreno

  • Behavior Analyst
  • Hialeah, FL
National Provider Identifier
1487004164
Registry record updated Oct 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-39495 Issued in FL
Practice address
3515 W 76TH St Apt 5
Hialeah, FL 33018-7565
Phone
(768) 690-0202
NPI assigned
Jun 14, 2016
Last updated
Oct 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-19-39495 FL Primary

Addresses

Primary practice location

3515 W 76TH St Apt 5
Hialeah, FL 33018-7565

Mailing address

1650 W 44 PL
211
Hialeah, FL 33012
Phone (786) 690-0202

Other practice location 1

12260 SW 8th St Ste 156
Miami, FL 33184-1508
Phone (786) 332-4326

Other practice location 2

5803 NW 151st St Ste 206
Miami Lakes, FL 33014-2478
Phone (305) 307-1911

Other practice location 3

10300 SW 72nd St Ste 467
Miami, FL 33173-3028
Phone (786) 308-9375

Other practice location 4

261 N University Dr Ste 500-1086
Plantation, FL 33324-2002
Phone (954) 931-1803

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dreaming Together Behavioral Services Inc Behavior Analyst Current Accepting new patients
Miami Behavioral Services LLC Behavior Analyst PastSince Oct 21, 2025 Accepting new patients
Liam Support Services LLC Behavior Analyst Past Accepting new patients
Morningside ABA, Inc Behavior Analyst Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791072000000",
    "number": "1487004164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 W 44 PL",
            "address_2": "211",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "786-690-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 W 76TH ST APT 5",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330187565",
            "telephone_number": "768-690-0202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12260 SW 8th St Ste 156",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331841508",
            "country_code": "US",
            "telephone_number": "786-332-4326",
            "fax_number": "786-558-9667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5803 NW 151st St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330142478",
            "country_code": "US",
            "telephone_number": "305-307-1911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10300 SW 72nd St Ste 467",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331733028",
            "country_code": "US",
            "telephone_number": "786-308-9375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "261 N University Dr Ste 500-1086",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333242002",
            "country_code": "US",
            "telephone_number": "954-931-1803",
            "fax_number": "888-320-6434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRERO MORENO",
        "first_name": "ANNELISSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2026-10-04",
        "certification_date": "2026-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-19-39495",
            "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 Oct 4, 2026; 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.