Miler Masson Boucourt

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-46590 Issued in FL

Practice address

9120 SW 150TH Ave
Miami, FL 33196-1496

Phone

(305) 497-3430

NPI assigned

Oct 19, 2017

Sex

Male

Sole proprietor

Yes

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

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.

• Blue Wings Health Services Inc.

  • Behavior Analyst
  • Miami, FL
  • NPI 1679281034
  NPD Authorized official

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1932610763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9120 SW 150TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961496",
            "telephone_number": "305-497-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9120 SW 150TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961496",
            "telephone_number": "305-497-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSON BOUCOURT",
        "first_name": "MILER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-19",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-20-46590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Lazaro Massana
• Elisaine Patricia Massaro
• Nicolas Massimini, PA
• Giselle Masso Garcia
• Dina Masso
• Puneet Masson, MD
• Franklyn Massop, PSY. S., NCSP
• Melanie Princess Massot
• Nicole Massucci, M.D.
• Master Billing Solutions, Corp

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

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