Active NPI
Imeuri Marin Vega
- Behavior Analyst
- Homestead, FL
National Provider Identifier
1629785894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12689727
- Practice address
- 14301 SW 268TH St Apt 510
Homestead, FL 33032-7518 - Phone
- (786) 444-6042
- NPI assigned
- Oct 27, 2022
- 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 | 12689727 | FL | Primary |
| Behavior Technician | 106S00000X | 22230399 | FL |
Addresses
Primary practice location
14301 SW 268TH St Apt 510
Homestead, FL 33032-7518
Mailing address
14301 SW 268TH St Apt 302
Homestead, FL 33032-7520
Phone (786) 444-6042
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 |
|---|---|---|---|
| 12689727 | FL | MD | Behavioral Analyst |
| 22230399 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778198400000",
"number": "1629785894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14301 SW 268TH ST APT 302",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330327520",
"telephone_number": "786-444-6042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14301 SW 268TH ST APT 510",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330327518",
"telephone_number": "786-444-6042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARIN VEGA",
"first_name": "IMEURI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-27",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "12689727",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "22230399",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.