Individual provider Active NPI

Marileidy Garcia Conesa

  • Behavior Technician
  • Miami Gardens, FL
National Provider Identifier
1861112542
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT21-189539
Practice address
4475 NW 169TH Ter
Miami Gardens, FL 33055-4324
Phone
(786) 658-5038
NPI assigned
Sep 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X RBT21-189539 Primary

Addresses

Primary practice location

4475 NW 169TH Ter
Miami Gardens, FL 33055-4324

Mailing address

4475 NW 169TH Ter
Miami Gardens, FL 33055-4324
Phone (786) 658-5038

Other identifiers 1

IdentifierTypeStateIssuer
RBT-21-189539OtherREGISTERED BEHAVIOR TECHNICIAN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL marileidygarcia94@gmail.com

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": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1861112542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 NW 169TH TER",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330554324",
            "telephone_number": "786-658-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 NW 169TH TER",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330554324",
            "telephone_number": "786-658-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA CONESA",
        "first_name": "MARILEIDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT21-189539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED BEHAVIOR TECHNICIAN",
            "identifier": "RBT-21-189539",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "marileidygarcia94@gmail.com",
            "affiliation": "N",
            "address_1": "4475 NW 169th Ter",
            "city": "Miami Gardens",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330554324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.