Active NPI
Maria Paula Larrea, BCBA
- Behavior Analyst
- Tampa, FL
National Provider Identifier
1770077745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-52108
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-58548 | FL | MD | Behavior 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.