Individual provider Active NPI

Mayra Matheu Morales, RBT

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1902473572
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
983 SW 154TH Path
Miami, FL 33194-2788
Phone
(786) 603-9320
NPI assigned
Jun 10, 2021
Reactivated
Aug 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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 Primary

Addresses

Primary practice location

983 SW 154TH Path
Miami, FL 33194-2788

Mailing address

983 SW 154TH Path
Miami, FL 33194-2788
Phone (786) 603-9320

Other identifiers 1

IdentifierTypeStateIssuer
M365540637670MedicaidFL

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": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1902473572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983 SW 154TH PATH",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331942788",
            "telephone_number": "786-603-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 SW 154TH PATH",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331942788",
            "telephone_number": "786-603-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEU MORALES",
        "first_name": "MAYRA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "deactivation_date": "2021-06-23",
        "reactivation_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M365540637670",
            "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 Aug 20, 2021; 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.