Individual provider Active NPI

Daniella Young-Buitrago, MA SED. BCBA

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1871000596
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-47607 Issued in FL
Practice address
13195 SW 136TH Street. Suite 201
Miami, FL 33186
Phone
(786) 206-6500
NPI assigned
Jan 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-18-49888 FL
Behavior Analyst 103K00000X 1-21-47607 FL Primary

Addresses

Primary practice location

13195 SW 136TH Street. Suite 201
Miami, FL 33186

Mailing address

3110 SW 47TH Ave
West Park, FL 33023-5578
Phone (305) 527-0548

Other practice location 1

3110 SW 47th Ave
West Park, FL 33023-5578
Phone (305) 333-9539

Other identifiers 1

IdentifierTypeStateIssuer
024174300MedicaidFL

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
RBT-18-49888FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Behavior Services Behavior Analyst PastSince Sep 1, 2019 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.

NPI Registry JSON

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1871000596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 SW 47TH AVE",
            "city": "WEST PARK",
            "state": "FL",
            "postal_code": "330235578",
            "telephone_number": "305-527-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13195 SW 136TH STREET. SUITE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33186",
            "telephone_number": "786-206-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3110 SW 47th Ave",
            "address_purpose": "LOCATION",
            "city": "West Park",
            "state": "FL",
            "postal_code": "330235578",
            "country_code": "US",
            "telephone_number": "305-333-9539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG-BUITRAGO",
        "first_name": "DANIELLA",
        "credential": "MA SED. BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-49888",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-47607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024174300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Feb 22, 2024; 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.