Individual provider Active NPI

Mayelin Martinez Avila, RBT

  • Behavior Technician
  • Virginia Gardens, FL
National Provider Identifier
1740078989
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB1013754 Issued in FL
Practice address
6045 NW 37TH St Apt 206
Virginia Gardens, FL 33166-7092
Phone
(786) 771-1358
NPI assigned
Apr 28, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 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 BACB1013754 FL Primary

Addresses

Primary practice location

6045 NW 37TH St Apt 206
Virginia Gardens, FL 33166-7092

Mailing address

6045 NW 37TH St Apt 206
Virginia Gardens, FL 33166-7092
Phone (786) 771-1358

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
BACB1013754FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1740078989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 NW 37TH ST APT 206",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331667092",
            "telephone_number": "786-771-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 NW 37TH ST APT 206",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331667092",
            "telephone_number": "786-771-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ AVILA",
        "first_name": "MAYELIN",
        "name_prefix": "Miss",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB1013754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.