Individual provider Active NPI

Marivel Alfonso Aday

  • Behavior Technician
  • Hollywood, FL
National Provider Identifier
1902517089
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-140038 Issued in FL
Practice address
6516 Eaton St
Hollywood, FL 33024-7653
Phone
(786) 557-3413
NPI assigned
Dec 8, 2022
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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
Behavior Technician 106S00000X RBT-20-140038 FL Primary

Addresses

Primary practice location

6516 Eaton St
Hollywood, FL 33024-7653

Mailing address

6516 Eaton St
Hollywood, FL 33024-7653
Phone (786) 557-3413

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL marivelalfonso35@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

State licenses

LicenseStateTypeSpecialty
RBT-20-140038FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1902517089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6516 EATON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330247653",
            "telephone_number": "786-557-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6516 EATON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330247653",
            "telephone_number": "786-557-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFONSO ADAY",
        "first_name": "MARIVEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-140038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "marivelalfonso35@gmail.com",
            "affiliation": "N",
            "address_1": "6516 Eaton St",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330247653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.