Maibel Medina

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-143100 Issued in NU

Practice address

308 E 62ND St
Hialeah, FL 33013-1036

Phone

(786) 357-0451

NPI assigned

Oct 5, 2022

Last updated

Oct 5, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1790400414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 E 62ND ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131036",
            "telephone_number": "786-357-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 E 62ND ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131036",
            "telephone_number": "786-357-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "MAIBEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": "RBT-20-143100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-20-143100",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ADDRESS",
            "affiliation": "N",
            "address_1": "308 E 62nd St",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330131036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Viviana Medina-Morales, PHARMD
• Adolfo Medina, M.D.
• Amarilys C Medina
• Erick Alejandro Medina
• Jani Medina, M.S., CF-SLP
• Maria Medina
• Maria Rachel Medina
• Marianela Medina
• Mayrel Medina
• Nancy M Medina

• Behavior Technician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.