Active NPI
Nekesia Paschal
- Behavior Technician
- Opa Locka, FL
National Provider Identifier
1609352145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 19-80272
- Practice address
- 16101 NW 22ND Ave
Opa Locka, FL 33054-2049 - Phone
- (786) 356-1079
- NPI assigned
- Jul 18, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 19-80272 | FL | Primary |
| Developmental Therapist | 222Q00000X |
Addresses
Primary practice location
16101 NW 22ND Ave
Opa Locka, FL 33054-2049
Mailing address
9500 Dunhill Dr
Miramar, FL 33025-3974
Phone (786) 356-1079
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598280919 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19-80272 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access to Care Transportation Services LLC | Current | Accepting new patients | |
| Khaila Montessori Academy | Current | Accepting new patients |
Locations
16101 NW 22nd Ave
Opa Locka, FL 33054
Phone (786) 356-1079
Organizations & group practices 2
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.
-
- Medically Fragile Infants and Children Day Care
- Miami Gardens, FL
- NPI 1598280919
-
- Non-emergency Medical Transport (VAN)
- Miami Gardens, FL
- NPI 1871227066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570492800000",
"number": "1609352145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 DUNHILL DR",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330253974",
"telephone_number": "786-356-1079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16101 NW 22ND AVE",
"city": "OPA LOCKA",
"state": "FL",
"postal_code": "330542049",
"telephone_number": "786-356-1079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCHAL",
"first_name": "NEKESIA",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-18",
"last_updated": "2019-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "19-80272",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1598280919",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Opa Locka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.