Individual provider Active NPI

Mayrelis Veliz Alonso

  • Behavior Technician
  • Punta Gorda, FL
National Provider Identifier
1598546996
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-301857 Issued in FL
Practice address
8270 Burnt Store Rd Unit 3
Punta Gorda, FL 33950-4705
Phone
(941) 456-0018
NPI assigned
Oct 11, 2023
Last updated
Oct 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-301857 FL Primary

Addresses

Primary practice location

8270 Burnt Store Rd Unit 3
Punta Gorda, FL 33950-4705

Mailing address

5342 Hawks Landing Dr Apt 306
Fort Myers, FL 33907-6664
Phone (239) 961-5808

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-23-301857FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Strategic Applied Behavior Analysis Corp CurrentSince Nov 12, 2023 Accepting new patients

Locations

8270 Burnt Store Rd
Unit 3
Punta Gorda, FL 33950
Phone (941) 456-0018

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.

NPI Registry JSON

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1598546996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5342 HAWKS LANDING DR APT 306",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339076664",
            "telephone_number": "239-961-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8270 BURNT STORE RD UNIT 3",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504705",
            "telephone_number": "941-456-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELIZ ALONSO",
        "first_name": "MAYRELIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-301857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.