Active NPI
Lidice Rodriguez Cabrera
- Behavior Analyst
- Miami, FL
National Provider Identifier
1669059556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-54370
- Practice address
- 2853 SW 38TH Ave
Miami, FL 33134-7343 - Phone
- (786) 317-8121
- NPI assigned
- Mar 26, 2021
- 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 | 0-21-11832 | FL | |
| Behavior Analyst | 103K00000X | 1-21-54370 | FL | Primary |
Addresses
Primary practice location
2853 SW 38TH Ave
Miami, FL 33134-7343
Mailing address
1100 Pondella Rd Apt 301
Cape Coral, FL 33909-5152
Phone (786) 317-8121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110153900 | Medicaid | FL |
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": "1616716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1669059556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 PONDELLA RD APT 301",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339095152",
"telephone_number": "786-317-8121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2853 SW 38TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331347343",
"telephone_number": "786-317-8121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ CABRERA",
"first_name": "LIDICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-26",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": "0-21-11832",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-21-54370",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110153900",
"state": "FL"
}
],
"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 Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.