Individual provider Active NPI

Cyndia Talia Alfonso, RBT

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1760989099
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
7290 SW 90TH St Apt 302
Miami, FL 33156
Phone
(786) 678-5051
NPI assigned
Apr 12, 2018
Last updated
Apr 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X FL Primary
Behavior Technician 106S00000X RBT-18-49532 FL

Addresses

Primary practice location

7290 SW 90TH St Apt 302
Miami, FL 33156

Mailing address

9045 SW 160TH Ter
Palmetto Bay, FL 33157-3596
Phone (786) 678-5051

Other practice location 1

3465 Brooker St
Miami, FL 33133-4867
Phone (305) 443-1234

Other identifiers 1

IdentifierTypeStateIssuer
020733800MedicaidFL

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-18-49532FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Up Behavior LLC Behavior Analyst Current Accepting new patients
Up Behavior LLC Behavior Analyst Current Accepting new patients
St Alban's Day Nursery Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1760989099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9045 SW 160TH TER",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331573596",
            "telephone_number": "786-678-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7290 SW 90TH ST APT 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33156",
            "telephone_number": "786-678-5051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3465 Brooker St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331334867",
            "country_code": "US",
            "telephone_number": "305-443-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALFONSO",
        "first_name": "CYNDIA",
        "middle_name": "TALIA",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-49532",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020733800",
            "state": "FL"
        }
    ],
    "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 Apr 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.

Verify at the official NPI Registry.