Individual provider Active NPI

Mayle Pacheco, BCABA

  • Assistant Behavior Analyst
  • Miami, FL
National Provider Identifier
1578081782
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-21-12010 Issued in FL
Practice address
10332 SW 151St Ter
Miami, FL 33176-7773
Phone
(786) 715-9968
NPI assigned
Sep 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-21-12010 FL Primary

Addresses

Primary practice location

10332 SW 151St Ter
Miami, FL 33176-7773

Mailing address

10332 SW 151St Ter
Miami, FL 33176-7773
Phone (786) 715-9968

Other practice location 1

7750 W 28th Ave Apt 212
Hialeah, FL 33018-7248
Phone (786) 715-9968

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

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1578081782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10332 SW 151ST TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767773",
            "telephone_number": "786-715-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10332 SW 151ST TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331767773",
            "telephone_number": "786-715-9968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7750 W 28th Ave Apt 212",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330187248",
            "country_code": "US",
            "telephone_number": "786-715-9968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "MAYLE",
        "name_prefix": "Mrs.",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-21-12010",
            "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 Apr 14, 2021; 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.