Active NPI
Blanca Marinee Midence
- Behavior Analyst
- West Palm Beach, FL
National Provider Identifier
1619740776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 1401 Village Blvd Apt 1816
West Palm Beach, FL 33409-2793 - Phone
- (305) 783-4679
- NPI assigned
- Oct 31, 2023
- 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 Analyst | 103K00000X | RBT-23307365 | FL | |
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
1401 Village Blvd Apt 1816
West Palm Beach, FL 33409-2793
Mailing address
1401 Village Blvd Apt 1816
West Palm Beach, FL 33409-2793
Phone (305) 783-4679
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 |
|---|---|---|---|
| RBT-23307365 | FL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1619740776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 VILLAGE BLVD APT 1816",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334092793",
"telephone_number": "305-783-4679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 VILLAGE BLVD APT 1816",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334092793",
"telephone_number": "305-783-4679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDENCE",
"first_name": "BLANCA",
"middle_name": "MARINEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-31",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "RBT-23307365",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.