Individual provider Active NPI

Maria Paula Larrea, BCBA

  • Behavior Analyst
  • Tampa, FL
National Provider Identifier
1770077745
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-52108 Issued in FL
Practice address
8815 Citrus Palm Dr
Tampa, FL 33626-4735
Phone
(813) 420-6341
NPI assigned
Jun 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-18-58548 FL
Behavior Analyst 103K00000X 1-21-52108 FL Primary

Addresses

Primary practice location

8815 Citrus Palm Dr
Tampa, FL 33626-4735

Mailing address

8815 Citrus Palm Dr
Tampa, FL 33626-4735
Phone (813) 420-6341

Other practice location 1

1373 Overlea Dr
Dunedin, FL 34698-4748
Phone (727) 492-5369

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-18-58548FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1770077745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8815 CITRUS PALM DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336264735",
            "telephone_number": "813-420-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 CITRUS PALM DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336264735",
            "telephone_number": "813-420-6341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1373 Overlea Dr",
            "address_purpose": "LOCATION",
            "city": "Dunedin",
            "state": "FL",
            "postal_code": "346984748",
            "country_code": "US",
            "telephone_number": "727-492-5369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARREA",
        "first_name": "MARIA",
        "middle_name": "PAULA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-58548",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-52108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.