Kerenstina G Mahotiere

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

500 NE Spanish River Blvd Ste 31
Boca Raton, FL 33431-4517

Phone

(561) 563-3738

NPI assigned

Jun 24, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Therapeutic Treehouse, LLC

  • Early Intervention Provider Agency
  • Boynton Beach, FL
  • NPI 1952993834

  Behavior Analyst

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1841922390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 S MILITARY TRL APT 4523",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367235",
            "telephone_number": "561-808-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NE SPANISH RIVER BLVD STE 31",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314517",
            "telephone_number": "561-563-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHOTIERE",
        "first_name": "KERENSTINA",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Marie Mahady, M.S.
• Ravinder S Mahal, M.D.
• Ann Mahan, A.P.N.
• Amrika Maharaj, PA-C
• Olena Mahneva, DO
• Annette Thao Mai, MD
• Mailmyprescriptions Com Pharmacy Corporation
• Mailmyprescriptions Com Pharmacy Corporation
• Main Street Children'S Dentistry and Orthodontics of Boca Raton, P.a.
• Madeline Main

• Behavior Analyst in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.