Active NPI
Yudith De la Caridad Alen
- Behavior Technician
- Hialeah, FL
National Provider Identifier
1932725595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 20120214
- Practice address
- 2403 W 76TH St Apt 206
Hialeah, FL 33016-5663 - Phone
- (786) 399-6468
- NPI assigned
- Jun 19, 2020
- 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 Technician | 106S00000X | 20120214 | FL | Primary |
Addresses
Primary practice location
2403 W 76TH St Apt 206
Hialeah, FL 33016-5663
Mailing address
12260 SW 8TH St Ste 156
Miami, FL 33184-1508
Phone (786) 332-4326
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 |
|---|---|---|---|
| 20120214 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liam Support Services LLC | Behavior Technician | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592524800000",
"number": "1932725595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12260 SW 8TH ST STE 156",
"city": "MIAMI",
"state": "FL",
"postal_code": "331841508",
"telephone_number": "786-332-4326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2403 W 76TH ST APT 206",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330165663",
"telephone_number": "786-399-6468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEN",
"first_name": "YUDITH",
"middle_name": "DE LA CARIDAD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-19",
"last_updated": "2020-06-19",
"certification_date": "2020-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "20120214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.