Active NPI
Meilyn Lizette Marino
- Behavior Technician
- Miami, FL
National Provider Identifier
1902667280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 23-310860
- Practice address
- 12001 SW 128TH CT Ste 202
Miami, FL 33186-4666 - Phone
- (786) 309-2119
- NPI assigned
- Jan 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 23-310860 | FL | Primary |
Addresses
Primary practice location
12001 SW 128TH CT Ste 202
Miami, FL 33186-4666
Mailing address
4007 9TH St SW
Lehigh Acres, FL 33976-2701
Phone (786) 694-0994
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23-310860 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kiddo'S Behavior Therapy LLC | Past | 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.
-
- Behavior Analyst
- Miami, FL
- NPI 1265205223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1902667280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4007 9TH ST SW",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339762701",
"telephone_number": "786-694-0994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12001 SW 128TH CT STE 202",
"city": "MIAMI",
"state": "FL",
"postal_code": "331864666",
"telephone_number": "786-309-2119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO",
"first_name": "MEILYN",
"middle_name": "LIZETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-23",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "23-310860",
"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 Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.