Active NPI
Derek Calderon
- Behavior Analyst
- Miami, FL
National Provider Identifier
1679326771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 5330 SW 106TH Ave
Miami, FL 33165-7034 - Phone
- (786) 394-0606
- NPI assigned
- Apr 9, 2024
- Sex
- Male
- 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 | FL | Primary |
Addresses
Primary practice location
5330 SW 106TH Ave
Miami, FL 33165-7034
Mailing address
5330 SW 106TH Ave
Miami, FL 33165-7034
Phone (786) 394-0606
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": "1712620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1679326771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5330 SW 106TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331657034",
"telephone_number": "786-394-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5330 SW 106TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331657034",
"telephone_number": "786-394-0606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERON",
"first_name": "DEREK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-09",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
- Rafael Alejandro Calderon-Candelario, MD
- Alfredo Jose Calderon Jr., D.M.D.
- Ana Cecilia Calderon
- Calixto Florencio Calderon, MD
- Carlos Enrique Calderon, PT, DPT
- Diana Margarita Calderon, RN
- Helen Alexandra Calderon, B.A
- Jose G Calderon, MD
- Jose Luis Calderon, APRN 11001721
- Julio Gonzalez Calderon, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.