Active NPI
Gretel Raez
- Behavior Analyst
- Miami, FL
National Provider Identifier
1528569076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 12039 SW 132ND CT Unit 28-4
Miami, FL 33186-4785 - Phone
- (786) 355-5654
- NPI assigned
- Feb 21, 2018
- Last updated
- Feb 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 Analyst | 103K00000X | NU | Primary |
Addresses
Primary practice location
12039 SW 132ND CT Unit 28-4
Miami, FL 33186-4785
Mailing address
20833 SW 125TH Avenue Rd
Miami, FL 33177-5761
Phone (786) 546-2971
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Positive Psychology, Inc | Behavior Analyst | Past | Accepting new patients |
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.
-
- Behavior Analyst
- Miami, FL
- NPI 1043715162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519171200000",
"number": "1528569076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20833 SW 125TH AVENUE RD",
"city": "MIAMI",
"state": "FL",
"postal_code": "331775761",
"telephone_number": "786-546-2971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12039 SW 132ND CT UNIT 28-4",
"city": "MIAMI",
"state": "FL",
"postal_code": "331864785",
"telephone_number": "786-355-5654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAEZ",
"first_name": "GRETEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-21",
"last_updated": "2018-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"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 Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.