Maricel Walsh

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2647 Pinewood CT
Davie, FL 33328-6780

Phone

(786) 873-0511

NPI assigned

Feb 25, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622419200000",
    "number": "1588024152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2647 PINEWOOD CT",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333286780",
            "telephone_number": "786-873-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2647 PINEWOOD CT",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333286780",
            "telephone_number": "786-873-0511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 NW 65th St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333091113",
            "country_code": "US",
            "telephone_number": "855-832-6727 x1426",
            "fax_number": "772-675-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8785 SW 165th Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331935827",
            "country_code": "US",
            "telephone_number": "786-206-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "MARICEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Wallace, D.O.
• Jody Ann Wallace
• Gerald William Wallach, D.D.S.
• Charlotte Victoria Walsh
• Erin Marie Walsh, MS
• Matthew Walsh, O.D.
• Charlotte Mae Walter
• Iliamaris Rivera Walter, LMFT
• Kadey Walters, FNP
• Nadia S Walters

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.