Mayte Sofia Mourino

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

10470 NW 134 St
Hialeah Gardens, FL 33018-1105

Phone

(786) 592-2263

Fax

(786) 272-0440

NPI assigned

Jul 19, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• ABA Magic Therapy Corp

  • Behavior Analyst
  • Hialeah Gardens, FL
  • NPI 1619678992
  NPD Authorized official

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1912420290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 NW 134TH ST",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330181105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10470 NW 134 ST",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330181105",
            "telephone_number": "786-592-2263",
            "fax_number": "786-272-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOURINO",
        "first_name": "MAYTE",
        "middle_name": "SOFIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yusely Morales la Rosa
• Patricia Morales Perez
• Leidys Elodia Morales
• Lauren Morejon
• Marwick Moreno
• Dianisleidy Moya Ocana
• Liz Shayne Moya Vazquez
• Grisel De la Concepcion Mozas, MSOT
• Gladys Munoz Morales, MS
• Rosario Munoz Suarez

• Behavior Analyst in Hialeah Gardens, FL
• Providers in Hialeah Gardens, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.