Individual provider Active NPI

Caterine Figueredo Pena

  • Behavior Analyst
  • Hialeah, FL
National Provider Identifier
1750868873
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
121-50-787 Issued in FL
Practice address
6759 NW 193Rd LN
Hialeah, FL 33015-2447
Phone
(786) 546-2807
NPI assigned
Jul 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X
Assistant Behavior Analyst 106E00000X 02011501 FL
Behavior Analyst 103K00000X 121-50-787 FL Primary

Addresses

Primary practice location

6759 NW 193Rd LN
Hialeah, FL 33015-2447

Mailing address

6759 NW 193Rd LN
Hialeah, FL 33015-2447
Phone (786) 546-2807

Other identifiers 1

IdentifierTypeStateIssuer
102902000MedicaidFL

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
02011501FLMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Amazing Me ABA LLC Behavior Analyst CurrentSince Nov 10, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1532131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1750868873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6759 NW 193RD LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152447",
            "telephone_number": "786-546-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6759 NW 193RD LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152447",
            "telephone_number": "786-546-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEREDO PENA",
        "first_name": "CATERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-21",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "02011501",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "121-50-787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102902000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.