Individual provider Active NPI

Maiken Perez Alonso

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1700658085
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-143508 Issued in FL
Practice address
3650 NW 36TH St
Apt 1011
Miami, FL 33142-4943
Phone
(772) 204-6115
NPI assigned
Oct 30, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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-20-143508 FL Primary

Addresses

Primary practice location

3650 NW 36TH St
Apt 1011
Miami, FL 33142-4943

Mailing address

3650 NW 36TH St
Apt 1011
Miami, FL 33142-4943
Phone (772) 204-6115

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-20-143508FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1700658085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 NW 36TH ST",
            "address_2": "APT 1011",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331424943",
            "telephone_number": "772-204-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 NW 36TH ST",
            "address_2": "APT 1011",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331424943",
            "telephone_number": "772-204-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ ALONSO",
        "first_name": "MAIKEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-143508",
            "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 Nov 22, 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.