Active NPI
Mia Nicole Ayala, RBT
- Behavior Technician
- Pembroke Pines, FL
National Provider Identifier
1497577753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-387844
- Practice address
- 2000 NW 150TH Ave Ste 2112
Pembroke Pines, FL 33028-2870 - Phone
- (754) 264-8779
- NPI assigned
- Oct 28, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-387844 | FL | Primary |
Addresses
Primary practice location
2000 NW 150TH Ave Ste 2112
Pembroke Pines, FL 33028-2870
Mailing address
7205 W 30TH CT
Hialeah, FL 33018-5205
Phone (786) 973-5794
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-387844 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Initiatives, LLC | Behavior Technician | Current | Accepting new patients |
Locations
2000 NW 150th Ave
Ste 2112
Pembroke Pines, FL 33028
Phone (754) 264-8779
Organizations & group practices 1
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": "1730073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1497577753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7205 W 30TH CT",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330185205",
"telephone_number": "786-973-5794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 NW 150TH AVE STE 2112",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330282870",
"telephone_number": "754-264-8779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYALA",
"first_name": "MIA",
"middle_name": "NICOLE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-28",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-24-387844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.