Active NPI
Mirielle Marrero Amoros
- Behavior Analyst
- Cypress, TX
National Provider Identifier
1720724784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 4969
- Practice address
- 12515 Barker Cypress Rd Apt 7101
Cypress, TX 77429-8592 - Phone
- (346) 309-8859
- NPI assigned
- May 11, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 4969 | TX | Primary |
Addresses
Primary practice location
12515 Barker Cypress Rd Apt 7101
Cypress, TX 77429-8592
Mailing address
5901 E 5TH St
Katy, TX 77493-8592
Phone (832) 622-8164
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4969 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Hope Therapy LLC | Behavior Analyst | Current | 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.
-
- Behavior Analyst
- Cypress, TX
- NPI 1902644867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652227200000",
"number": "1720724784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 E 5TH ST",
"city": "KATY",
"state": "TX",
"postal_code": "774938592",
"telephone_number": "832-622-8164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12515 BARKER CYPRESS RD APT 7101",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774298592",
"telephone_number": "346-309-8859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRERO AMOROS",
"first_name": "MIRIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-11",
"last_updated": "2022-05-11",
"certification_date": "2022-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "4969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.