Individual provider Active NPI

Miguel Antonio Villegas, CBHCM

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1871370718
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-321295 Issued in FL
Practice address
15924 SW 92ND Ave
Miami, FL 33157-1842
Phone
(305) 964-5824
NPI assigned
Sep 13, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X CBHCM.0105863 FL
Behavior Technician 106S00000X RBT-24-321295 FL Primary

Addresses

Primary practice location

15924 SW 92ND Ave
Miami, FL 33157-1842

Mailing address

3941 NW Flagler Ter
Miami, FL 33126-5757
Phone (786) 452-5082

Other practice location 1

2103 Coral Way Ste 603
Miami, FL 33145-2656
Phone (786) 464-0353

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

LicenseStateTypeSpecialty
CBHCM.0105863FLMDSocial Worker
RBT-24-321295FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Behavioral Services 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.

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1871370718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 NW FLAGLER TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265757",
            "telephone_number": "786-452-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15924 SW 92ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331571842",
            "telephone_number": "305-964-5824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2103 Coral Way Ste 603",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331452656",
            "country_code": "US",
            "telephone_number": "786-464-0353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLEGAS",
        "first_name": "MIGUEL",
        "middle_name": "ANTONIO",
        "credential": "CBHCM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-13",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "CBHCM.0105863",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-321295",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 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.