Individual provider Active NPI

Nelson Cespedes

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1881364677
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
21169428 Issued in FL
Practice address
144 NW 37TH St
Miami, FL 33127-3111
Phone
(305) 767-1924
NPI assigned
Sep 14, 2021
Last updated
May 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 21169428 FL Primary

Addresses

Primary practice location

144 NW 37TH St
Miami, FL 33127-3111

Mailing address

8540 SW 133Rd Avenue Rd Apt 109
Miami, FL 33183-4508
Phone (786) 488-6877

Other practice location 1

7241 SW 63rd Ave Ste 101A
South Miami, FL 33143-4838
Phone (305) 397-8679

Other identifiers 1

IdentifierTypeStateIssuer
111801100MedicaidFL

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
21169428FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Specialty Group LLC Behavior Analyst CurrentSince May 29, 2022 Accepting new patients
Autism Specialty Group LLC Behavior Analyst CurrentSince Jun 5, 2022 Accepting new patients

Locations

144 NW 37th St
Miami, FL 33127
Phone (305) 767-1924

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1881364677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 SW 133RD AVENUE RD APT 109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834508",
            "telephone_number": "786-488-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 NW 37TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331273111",
            "telephone_number": "305-767-1924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7241 SW 63rd Ave Ste 101A",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331434838",
            "country_code": "US",
            "telephone_number": "305-397-8679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CESPEDES",
        "first_name": "NELSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "21169428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111801100",
            "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 May 26, 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.