Individual provider Active NPI

Manuel Avila Quintero

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1639957442
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-291033 Issued in FL
Practice address
12150 SW 128TH CT
Miami, FL 33186-4647
Phone
(786) 429-1005
NPI assigned
Sep 21, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X RBT-23-291033 FL Primary

Addresses

Primary practice location

12150 SW 128TH CT
Miami, FL 33186-4647

Mailing address

2044 SW 103Rd CT
Miami, FL 33165-7320
Phone (786) 304-8660

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-23-291033FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Care Help Specialty Group Inc Single Specialty Current Accepting new patients
Avanza Health LLC Single Specialty Current Accepting new patients
Wellbeing Oasis Community Center LLC Single Specialty CurrentSince Jan 1, 2024 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1639957442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2044 SW 103RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331657320",
            "telephone_number": "786-304-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 SW 128TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864647",
            "telephone_number": "786-429-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA QUINTERO",
        "first_name": "MANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-291033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.

Verify at the official NPI Registry.