Individual provider Active NPI

Marianela Gonzalez Caceres

  • Behavior Technician
  • Hialeah, FL
National Provider Identifier
1841813979
Registry record updated May 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
4156 W 11TH LN
Hialeah, FL 33012-4165
Phone
(786) 868-2772
NPI assigned
May 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2020

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

4156 W 11TH LN
Hialeah, FL 33012-4165

Mailing address

4156 W 11TH LN
Hialeah, FL 33012-4165
Phone (786) 868-2772

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": "1590192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590192000000",
    "number": "1841813979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4156 W 11TH LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124165",
            "telephone_number": "786-868-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4156 W 11TH LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124165",
            "telephone_number": "786-868-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ CACERES",
        "first_name": "MARIANELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-23",
        "last_updated": "2020-05-23",
        "certification_date": "2020-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2020; 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.