Odalys Fonseca

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-56209 Issued in FL

Practice address

3105 NW 107TH Ave Ste 433
Doral, FL 33172-2185

Phone

(786) 715-8511

NPI assigned

Oct 5, 2018

Last updated

Mar 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Interbehav Corp

  • Behavior Analyst
  • Doral, FL
  • NPI 1033828140
  NPD Authorized official

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1528533528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 NW 107TH AVE STE 433",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722185",
            "telephone_number": "786-715-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 NW 107TH AVE STE 433",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331722185",
            "telephone_number": "786-715-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONSECA",
        "first_name": "ODALYS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-56209",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-20-11440",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-1866763",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Woman Care, LLC
• Paola Alejandra Florii, FNP-BC
• Flourishing Thoughts LLC
• Fredy Manuel Fonseca Avila Sr., RBT
• Liani Fonseca Cardenas
• Yolanda Font
• Kirenia Fonte Martinez
• Jorge Fonticiella, COTA
• Foot and Ankle Network (Alivi Podiatry Network)
• Kenisha Forbes

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.