Individual provider Active NPI

Grace de Las Mercede Subiadur la Fe, RBT

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1730890799
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT22243630 Issued in FL
Practice address
15900 SW 95TH Ave Apt 205S
Miami, FL 33157-1868
Phone
(941) 518-8483
NPI assigned
Dec 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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 RBT22243630 FL Primary

Addresses

Primary practice location

15900 SW 95TH Ave Apt 205S
Miami, FL 33157-1868

Mailing address

3991 NW 11TH St Apt 4E
Miami, FL 33126-3652
Phone (941) 518-8483

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
RBT22243630FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1730890799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3991 NW 11TH ST APT 4E",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263652",
            "telephone_number": "941-518-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 SW 95TH AVE APT 205S",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331571868",
            "telephone_number": "941-518-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBIADUR LA FE",
        "first_name": "GRACE DE LAS MERCEDE",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT22243630",
            "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 Feb 3, 2025; 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.