Krystal Mercedes Conde, M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BCBA1-20-44901 Issued in FL

Practice address

7875 NW 12TH St Ste 109
Doral, FL 33126-1815

Phone

(786) 269-3502

NPI assigned

Mar 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Metamorphosis ABA Therapy LLC

  • Behavior Analyst
  • Miami, FL
  • NPI 1679295232
  NPD Authorized official
• Crystal Minds Psychological Services

  • Psychologist
  • Doral, FL
  • NPI 1316408180
  NPD

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

{
    "created_epoch": "1521849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1932604832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11455 W FLAGLER ST APT 417",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331744014",
            "telephone_number": "786-308-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7875 NW 12TH ST STE 109",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261815",
            "telephone_number": "786-269-3502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8785 SW 165th Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331935827",
            "country_code": "US",
            "telephone_number": "786-206-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONDE",
        "first_name": "KRYSTAL",
        "middle_name": "MERCEDES",
        "name_prefix": "Ms.",
        "credential": "M.S., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-24",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "BCBA1-20-44901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Compere
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• Blanca C Concepcion, MS OTR/L
• Iliana Concepcion
• Jandry Concepcion, DPT
• Michel Condis
• Shenita Coney
• Connect Med Supply LLC
• Donna Jean Conrad, RPH
• Consolidated Management, LLC

• Behavior Analyst in Doral, FL
• Providers in Doral, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.