Active NPI
Iris Altagracia Molina Mutiz
- Assistant Behavior Analyst
- Miami, FL
National Provider Identifier
1851756464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0-19-9759
- Practice address
- 7473 SW 82ND St Apt A312
Miami, FL 33143-7353 - Phone
- (786) 867-4376
- NPI assigned
- Dec 24, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | 0-19-9759 | FL | Primary |
| Behavior Technician | 106S00000X | RBT-18-60572 | FL | |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
7473 SW 82ND St Apt A312
Miami, FL 33143-7353
Mailing address
7815 SW 88TH St Apt E326
Miami, FL 33156-7729
Phone (305) 606-6195
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31224695 | Medicaid | FL |
Other names 1
- Ms. Iris Altagracia Molina Mutiz
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 |
|---|---|---|---|
| RBT-18-60572 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shapin' Up LLC | 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 1477406858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560902400000",
"number": "1851756464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7815 SW 88TH ST APT E326",
"city": "MIAMI",
"state": "FL",
"postal_code": "331567729",
"telephone_number": "305-606-6195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7473 SW 82ND ST APT A312",
"city": "MIAMI",
"state": "FL",
"postal_code": "331437353",
"telephone_number": "786-867-4376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLINA MUTIZ",
"first_name": "IRIS",
"middle_name": "ALTAGRACIA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-24",
"last_updated": "2019-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": "0-19-9759",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-18-60572",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31224695",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "IRIS",
"last_name": "MOLINA MUTIZ",
"middle_name": "ALTAGRACIA",
"prefix": "MS.",
"code": "2",
"type": "Professional Name"
}
]
}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 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.