Individual provider Active NPI

Mayte Chacon Seijas

  • Behavior Technician
  • Miami Gardens, FL
National Provider Identifier
1639838113
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-180334 Issued in FL
Practice address
3371 NW 178TH St
Miami Gardens, FL 33056-3478
Phone
(786) 366-8856
NPI assigned
Dec 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-180334 FL Primary

Addresses

Primary practice location

3371 NW 178TH St
Miami Gardens, FL 33056-3478

Mailing address

3371 NW 178TH St
Miami Gardens, FL 33056-3478
Phone (786) 366-8856

Other identifiers 1

IdentifierTypeStateIssuer
111752600MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mayte.chacon@yahoo.com

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

LicenseStateTypeSpecialty
RBT-21-180334FLMDBehavior Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1639838113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3371 NW 178TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330563478",
            "telephone_number": "786-366-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3371 NW 178TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330563478",
            "telephone_number": "786-366-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACON SEIJAS",
        "first_name": "MAYTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-180334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111752600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mayte.chacon@yahoo.com",
            "affiliation": "N",
            "address_1": "571 E 35th St",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330133031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.