Active NPI
Misladys Martinez Bernal
- Behavior Analyst
- Miami Lakes, FL
National Provider Identifier
1821501537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 17643 NW 91St Ave
Miami Lakes, FL 33018-6687 - Phone
- (786) 879-3353
- NPI assigned
- Nov 16, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | |||
| Behavior Technician | 106S00000X | RBT-18-62955 | FL | |
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
17643 NW 91St Ave
Miami Lakes, FL 33018-6687
Mailing address
17643 NW 91St Ave
Miami Lakes, FL 33018-6687
Phone (786) 879-3353
Other practice location 1
2854 W 75th Ter
Hialeah, FL 33018-5300
Phone (786) 870-3353
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | HIALEAH |
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-18-62955 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Gold Health Care Services LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- In Home Supportive Care Agency
- Hialeah, FL
- NPI 1861288953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1821501537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17643 NW 91ST AVE",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330186687",
"telephone_number": "786-879-3353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17643 NW 91ST AVE",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330186687",
"telephone_number": "786-879-3353"
}
],
"practiceLocations": [
{
"address_1": "2854 W 75th Ter",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330185300",
"country_code": "US",
"telephone_number": "786-870-3353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ BERNAL",
"first_name": "MISLADYS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-16",
"last_updated": "2022-06-03",
"certification_date": "2022-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-18-62955",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "HIALEAH",
"affiliation": "N",
"address_1": "2854 W 75th Ter",
"city": "Hialeah",
"state": "FL",
"country_code": "US",
"postal_code": "330185300",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.