Active NPI
Mirelys Coromoto Salazar
- Behavior Analyst
- Kissimmee, FL
National Provider Identifier
1912748427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 103K00000X
- Practice address
- 350 Parkland Cir Unit 302
Kissimmee, FL 34744-4593 - Phone
- (407) 879-7453
- NPI assigned
- Jun 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 Analyst | 103K00000X | 103K00000X | FL | Primary |
Addresses
Primary practice location
350 Parkland Cir Unit 302
Kissimmee, FL 34744-4593
Mailing address
350 Parkland Cir Unit 302
Kissimmee, FL 34744-4593
Phone (407) 879-7453
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 |
|---|---|---|---|
| 103K00000X | FL | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1912748427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 PARKLAND CIR UNIT 302",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347444593",
"telephone_number": "407-879-7453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 PARKLAND CIR UNIT 302",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347444593",
"telephone_number": "407-879-7453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAZAR",
"first_name": "MIRELYS",
"middle_name": "COROMOTO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-06",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "103K00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.