Individual provider Active NPI

Andrea Palermo

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1578010765
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
10447 SW 108TH Ave Apt E278
Miami, FL 33176-8115
Phone
(786) 645-9900
NPI assigned
Sep 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-17-38404 FL
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

10447 SW 108TH Ave Apt E278
Miami, FL 33176-8115

Mailing address

9601 SW 142ND Ave Apt 624
Miami, FL 33186-6862
Phone (786) 444-5172

Other practice location 1

9600 NW 25th St Ste Ph
Doral, FL 33172-1416
Phone (305) 597-3861

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

LicenseStateTypeSpecialty
RBT-17-38404FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Fitting Pieces Therapy Solutions LLC CurrentSince Dec 1, 2024 Accepting new patients
Cynthia Maura Morejon CurrentSince Dec 1, 2024 Accepting new patients

Locations

9600 NW 25th St
Ph
Doral, FL 33172
Phone (305) 390-1027

Organizations & group practices 2

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": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1578010765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 SW 142ND AVE APT 624",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866862",
            "telephone_number": "786-444-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10447 SW 108TH AVE APT E278",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331768115",
            "telephone_number": "786-645-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9600 NW 25th St Ste Ph",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331721416",
            "country_code": "US",
            "telephone_number": "305-597-3861",
            "fax_number": "305-597-3863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALERMO",
        "first_name": "ANDREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-17-38404",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "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 Nov 26, 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.