Active NPI
Mariam Leyva Corella
- Assistant Behavior Analyst
- Boynton Beach, FL
National Provider Identifier
1649979139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- BCABA0-25-16760
- Practice address
- 4793 N Congress Ave Ste 203
Boynton Beach, FL 33426-7937 - Phone
- (561) 772-9107
- Fax
- (561) 448-6063
- NPI assigned
- Feb 23, 2023
- 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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | BCABA0-25-16760 | FL | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
4793 N Congress Ave Ste 203
Boynton Beach, FL 33426-7937
Mailing address
11857 67TH PL N
West Palm Beach, FL 33412-2061
Phone (561) 574-3852
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Behavior LLC | Single Specialty | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1649979139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11857 67TH PL N",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334122061",
"telephone_number": "561-574-3852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4793 N CONGRESS AVE STE 203",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334267937",
"telephone_number": "561-772-9107",
"fax_number": "561-448-6063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEYVA CORELLA",
"first_name": "MARIAM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-23",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": "BCABA0-25-16760",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.