Active NPI
Violeta Marinov, BCBA
- Behavior Analyst
- Hallandale Beach, FL
National Provider Identifier
1629385489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-12-11481
- Practice address
- 500 NE 12TH Ave Apt 708
Hallandale Beach, FL 33009-3641 - Phone
- (754) 214-3506
- Fax
- (305) 935-0820
- NPI assigned
- Aug 31, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-12-11481 | FL | Primary |
| Developmental Therapist | 222Q00000X | |||
| Speech-Language Assistant | 2355S0801X | SI1421 | FL |
Addresses
Primary practice location
500 NE 12TH Ave Apt 708
Hallandale Beach, FL 33009-3641
Mailing address
500 NE 12TH Ave Apt 708
Hallandale Beach, FL 33009-3641
Phone (754) 214-3506
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12484771 | Other | FL | CAQH |
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 |
|---|---|---|---|
| SI1421 | FL | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Selfactualizeyourself Inc. | Behavior Analyst | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Behavior Analyst
- Hallandale Beach, FL
- NPI 1235521220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463961600000",
"number": "1629385489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 NE 12TH AVE APT 708",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330093641",
"telephone_number": "754-214-3506",
"fax_number": "305-935-0820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 NE 12TH AVE APT 708",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330093641",
"telephone_number": "754-214-3506",
"fax_number": "305-935-0820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINOV",
"first_name": "VIOLETA",
"name_prefix": "Mrs.",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-31",
"last_updated": "2016-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-12-11481",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "SI1421",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12484771",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hallandale Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.