Nancy Maria Marino Bobadilla, PSYCHOLOGY

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-69298 Issued in FL

Practice address

1401 SW 128TH Ter Apt H404
Pembroke Pines, FL 33027-4085

Phone

(786) 659-4569

NPI assigned

Nov 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Five Star ABA Services Corp.

  • Behavior Analyst
  • West Palm Beach, FL
  • NPI 1700522844
  NPD (past)
• Sunny Behavior LLC

  • Behavior Analyst
  • Cutler Bay, FL
  • NPI 1790206472
  NPD (past)

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1841955440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SW 128TH TER APT H404",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330274085",
            "telephone_number": "786-659-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SW 128TH TER APT H404",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330274085",
            "telephone_number": "786-659-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO BOBADILLA",
        "first_name": "NANCY",
        "middle_name": "MARIA",
        "credential": "PSYCHOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-69298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria J Gutierrez MD Facr PA
• Maria Rodriguez-Dowling
• Marian Health Care LLC
• Marie Shin, DPM. PLLC
• Maria Lina Marin
• Eduardo Miguel Marino Urbino, MD
• Ashley Marie Marino, BCABA
• Mario Magcalas MD PA
• Maritech Systems, Inc
• Mark Forrest D.M.D. P.a.

• Behavior Analyst in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.