Active NPI
Itala Del Alcazar Migone
- Behavior Technician
- Miami, FL
National Provider Identifier
1841782695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 815 NW 57TH Ave Ste 114
Miami, FL 33126-2041 - Phone
- (786) 693-6500
- NPI assigned
- Jun 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
815 NW 57TH Ave Ste 114
Miami, FL 33126-2041
Mailing address
15361 SW 143Rd Ave
Miami, FL 33177-1050
Phone (305) 316-7396
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023246300 | Medicaid | FL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1841782695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15361 SW 143RD AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331771050",
"telephone_number": "305-316-7396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 NW 57TH AVE STE 114",
"city": "MIAMI",
"state": "FL",
"postal_code": "331262041",
"telephone_number": "786-693-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL ALCAZAR MIGONE",
"first_name": "ITALA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-06",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023246300",
"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 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.