Active NPI
Marisol De Los Santos
- Behavior Analyst
- Bronx, NY
National Provider Identifier
1639418080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1112453
- Practice address
- 172 E 205TH St Apt 2F10458
Bronx, NY 10458-1233 - Phone
- (917) 484-3711
- NPI assigned
- Feb 5, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1112453 | Primary |
Addresses
Primary practice location
172 E 205TH St Apt 2F10458
Bronx, NY 10458-1233
Mailing address
172 E 205TH St Apt 2F10458
Bronx, NY 10458-1233
Phone (917) 484-3711
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 705065131 | Other | NY | TEACHER CERTIFICATION SPECIAL EDUCATION BIRTH-SENCOND GRADE |
| 644174121 | Other | NY | TEACHER CERTIFICATION GENERAL ED- BIRTH -SECOND GRADE |
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": "1360022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360022400000",
"number": "1639418080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 E 205TH ST APT 2F10458",
"city": "BRONX",
"state": "NY",
"postal_code": "104581233",
"telephone_number": "917-484-3711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 E 205TH ST APT 2F10458",
"city": "BRONX",
"state": "NY",
"postal_code": "104581233",
"telephone_number": "917-484-3711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LOS SANTOS",
"first_name": "MARISOL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-05",
"last_updated": "2013-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1112453",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEACHER CERTIFICATION SPECIAL EDUCATION BIRTH-SENCOND GRADE",
"identifier": "705065131",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEACHER CERTIFICATION GENERAL ED- BIRTH -SECOND GRADE",
"identifier": "644174121",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.