Active NPI
Indira Magaz Zulueta
- Behavior Analyst
- Virginia Gardens, FL
National Provider Identifier
1831667880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-61812
- Practice address
- 6405 NW 36TH St
Virginia Gardens, FL 33166-6974 - Phone
- (786) 953-8500
- NPI assigned
- Nov 7, 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 | RBT20110896 | FL | |
| Behavior Analyst | 103K00000X | 1-22-61812 | Primary |
Addresses
Primary practice location
6405 NW 36TH St
Virginia Gardens, FL 33166-6974
Mailing address
16722 SW 101St Ave
Miami, FL 33157-3227
Phone (786) 704-4936
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-22-61812 | Other | BACB | |
| RBT-18-65215 | Other | BOARD CERTIFICATE NUMBER | |
| RBT-18-65215 | Other | RBT |
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 |
|---|---|---|---|
| RBT20110896 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Imz, LLC | Behavior Analyst | 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.
-
- Behavior Analyst
- Miami, FL
- NPI 1467273417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665100800000",
"number": "1831667880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16722 SW 101ST AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331573227",
"telephone_number": "786-704-4936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6405 NW 36TH ST",
"city": "VIRGINIA GARDENS",
"state": "FL",
"postal_code": "331666974",
"telephone_number": "786-953-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGAZ ZULUETA",
"first_name": "INDIRA",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-07",
"last_updated": "2022-10-07",
"certification_date": "2022-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT20110896",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-22-61812",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BACB",
"identifier": "1-22-61812",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD CERTIFICATE NUMBER",
"identifier": "RBT-18-65215",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RBT",
"identifier": "RBT-18-65215",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Virginia Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.