Individual provider Active NPI

Geidy Guerra Mayedo, BCBA

  • Behavior Analyst
  • Doral, FL
National Provider Identifier
1578060406
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-53447 Issued in FL
Practice address
8200 NW 41St St Ste 262
Doral, FL 33166-6205
Phone
(786) 515-7480
NPI assigned
Apr 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-53447 FL Primary
Assistant Behavior Analyst 106E00000X 0-20-11294 FL

Addresses

Primary practice location

8200 NW 41St St Ste 262
Doral, FL 33166-6205

Mailing address

10530 SW 200TH St
Cutler Bay, FL 33157-8521
Phone (786) 515-7480

Other identifiers 1

IdentifierTypeStateIssuer
021693700MedicaidFL

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
GGM Small Services Inc Behavior Analyst CurrentSince Jan 12, 2025 Accepting new patients

Locations

8200 NW 41st St
Ste 262
Doral, FL 33166
Phone (786) 515-7480

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": "1523145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1578060406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10530 SW 200TH ST",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331578521",
            "telephone_number": "786-515-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 NW 41ST ST STE 262",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666205",
            "telephone_number": "786-515-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA MAYEDO",
        "first_name": "GEIDY",
        "name_prefix": "Ms.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-08",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-53447",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-20-11294",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021693700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.