Individual provider Active NPI

Katherine Mederos Palmero

  • Behavior Analyst
  • Miami Gardens, FL
National Provider Identifier
1912660580
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
110749900 Issued in FL
Practice address
17510 NW 46TH Ave
Miami Gardens, FL 33055-3724
Phone
(786) 641-1329
NPI assigned
Oct 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 110749900 FL Primary

Addresses

Primary practice location

17510 NW 46TH Ave
Miami Gardens, FL 33055-3724

Mailing address

17510 NW 46TH Ave
Miami Gardens, FL 33055-3724
Phone (786) 641-1329

Other identifiers 1

IdentifierTypeStateIssuer
110749900MedicaidFL

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
110749900FLMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1912660580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17510 NW 46TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330553724",
            "telephone_number": "786-641-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17510 NW 46TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330553724",
            "telephone_number": "786-641-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMERO",
        "first_name": "KATHERINE",
        "middle_name": "MEDEROS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "110749900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110749900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.

Verify at the official NPI Registry.