Individual provider Active NPI

Meysser Losanto Broceta

  • Behavior Analyst
  • Hialeah, FL
National Provider Identifier
1609311935
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-57251 Issued in FL
Practice address
5267 W 28TH Ave # 111
Hialeah, FL 33016-1913
Phone
(786) 873-8644
NPI assigned
Dec 22, 2016
Last updated
Jan 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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 1-21-57251 FL Primary
Behavior Analyst 103K00000X FL

Addresses

Primary practice location

5267 W 28TH Ave # 111
Hialeah, FL 33016-1913

Mailing address

5267 W 28TH Ave # 111
Hialeah, FL 33016-1913
Phone (786) 873-8644

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": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1609311935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5267 W 28TH AVE # 111",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161913",
            "telephone_number": "786-873-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5267 W 28TH AVE # 111",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161913",
            "telephone_number": "786-873-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSANTO BROCETA",
        "first_name": "MEYSSER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-22",
        "last_updated": "2022-01-24",
        "certification_date": "2021-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-57251",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.