Individual provider Active NPI

Ayleen Perez Solis

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1720723331
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-140177 Issued in FL
Practice address
10875 SW 112TH Ave Apt 318
Miami, FL 33176-3252
Phone
(786) 399-6375
NPI assigned
Apr 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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-20-140177 FL Primary

Addresses

Primary practice location

10875 SW 112TH Ave Apt 318
Miami, FL 33176-3252

Mailing address

10875 SW 112TH Ave Apt 318
Miami, FL 33176-3252
Phone (786) 399-6375

Other identifiers 1

IdentifierTypeStateIssuer
RBT-20-140177OtherFLBACB - BEHAVIOR ANALYST CERTIFICATION BOARD

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ADDRESS Direct

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-20-140177FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1720723331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10875 SW 112TH AVE APT 318",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331763252",
            "telephone_number": "786-399-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10875 SW 112TH AVE APT 318",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331763252",
            "telephone_number": "786-399-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ SOLIS",
        "first_name": "AYLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-140177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB - BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "RBT-20-140177",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ADDRESS",
            "affiliation": "N",
            "endpointDescription": "ADDRESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10875 SW 112th Ave Apt 318",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331763252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 28, 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.

Verify at the official NPI Registry.