Individual provider Active NPI

Niurka Martinez Vidal, BCABA

  • Assistant Behavior Analyst
  • Miami, FL
National Provider Identifier
1952070153
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
02112363 Issued in FL
Practice address
221 SW 58TH Ave
Miami, FL 33144-3427
Phone
(786) 370-2075
NPI assigned
Sep 10, 2021
Last updated
Jan 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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 18-69184 FL
Assistant Behavior Analyst 106E00000X 02112363 FL Primary

Addresses

Primary practice location

221 SW 58TH Ave
Miami, FL 33144-3427

Mailing address

221 SW 58TH Ave
Miami, FL 33144-3427
Phone (786) 370-2075

Other identifiers 1

IdentifierTypeStateIssuer
019132900MedicaidFL

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
02112363FLMDAssistant Behavior Analyst
18-69184FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1952070153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 SW 58TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443427",
            "telephone_number": "786-370-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 SW 58TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443427",
            "telephone_number": "786-370-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ VIDAL",
        "first_name": "NIURKA",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "18-69184",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "02112363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019132900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.