Individual provider Active NPI

Luis Miguel Taveras

  • Behavior Analyst
  • West Palm Beach, FL
National Provider Identifier
1912669458
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-25-78881 Issued in FL
Practice address
500 S Australian Ave Ste 600
West Palm Beach, FL 33401-6237
Phone
(877) 857-8517
NPI assigned
Oct 12, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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 RBT-21-189174 FL
Behavior Analyst 103K00000X 1-25-78881 FL Primary

Addresses

Primary practice location

500 S Australian Ave Ste 600
West Palm Beach, FL 33401-6237

Mailing address

7694 Blairwood Cir S
Lake Worth, FL 33467-1806
Phone (786) 626-1692

Other practice location 1

3625 NW 82nd Ave Ste 101
Doral, FL 33166-6633
Phone (786) 583-8663

Other practice location 2

1850 Forest Hill Blvd Ste 102
West Palm Beach, FL 33406-6056
Phone (561) 284-0625

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-21-189174FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuralink Health LLC Behavior Analyst PastSince Sep 1, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1912669458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7694 BLAIRWOOD CIR S",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334671806",
            "telephone_number": "786-626-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S AUSTRALIAN AVE STE 600",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016237",
            "telephone_number": "877-857-8517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3625 NW 82nd Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331666633",
            "country_code": "US",
            "telephone_number": "786-583-8663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1850 Forest Hill Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334066056",
            "country_code": "US",
            "telephone_number": "561-284-0625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAVERAS",
        "first_name": "LUIS",
        "middle_name": "MIGUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-12",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-189174",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-25-78881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.