Individual provider Active NPI

Thabatha Acosta Soriano, BCBA

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1508381146
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-58834 Issued in FL
Practice address
1000 Brickell PLZ Unit 2614
Miami, FL 33131-3848
Phone
(786) 212-8679
NPI assigned
Aug 4, 2017
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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 1-22-58834 FL Primary

Addresses

Primary practice location

1000 Brickell PLZ Unit 2614
Miami, FL 33131-3848

Mailing address

1000 Brickell PLZ Unit 2614
Miami, FL 33131-3848
Phone (786) 212-8679

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
Behavioral Neurodiversity Specialists Corp Behavior Analyst CurrentSince Nov 10, 2024 Accepting new patients

Locations

999 Brickell Ave
Ste 410
Miami, FL 33131
Phone (201) 389-2729

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, 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": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1508381146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BRICKELL PLZ UNIT 2614",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313848",
            "telephone_number": "786-212-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BRICKELL PLZ UNIT 2614",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313848",
            "telephone_number": "786-212-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA SORIANO",
        "first_name": "THABATHA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-22-58834",
            "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 Dec 30, 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.