Individual provider Active NPI

Armando De la Caridad Boucourt

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1811534753
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
144 NW 37TH St
Miami, FL 33127-3111
Phone
(305) 767-1924
NPI assigned
Dec 10, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

144 NW 37TH St
Miami, FL 33127-3111

Mailing address

2195 SW 64TH Ave
Miami, FL 33155-1954
Phone (786) 486-9043

Other practice location 1

2195 SW 64th Ave
Miami, FL 33155-1954
Phone (786) 486-9043

Other identifiers 1

IdentifierTypeStateIssuer
104999800MedicaidFL

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

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Specialty Group LLC CurrentSince Jun 21, 2022 Accepting new patients
Autism Specialty Group LLC CurrentSince Jun 21, 2022 Accepting new patients

Locations

144 NW 37th St
Miami, FL 33127
Phone (305) 767-1924

Organizations & group practices 2

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": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1811534753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 SW 64TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331551954",
            "telephone_number": "786-486-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 NW 37TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331273111",
            "telephone_number": "305-767-1924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2195 SW 64th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331551954",
            "country_code": "US",
            "telephone_number": "786-486-9043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUCOURT",
        "first_name": "ARMANDO",
        "middle_name": "DE LA CARIDAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-10",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104999800",
            "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 Jun 14, 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.