Individual provider Active NPI

Ayren Diarelis Mulen Tablada, RBT-23-286737

  • Behavior Technician
  • Pembroke Pines, FL
National Provider Identifier
1962263749
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-286737 Issued in FL
Practice address
9050 Pines Blvd Ste 205
Pembroke Pines, FL 33024-6415
Phone
(954) 744-4182
Fax
(954) 842-2913
NPI assigned
Jan 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-23-286737 FL Primary

Addresses

Primary practice location

9050 Pines Blvd Ste 205
Pembroke Pines, FL 33024-6415

Mailing address

9050 Pines Blvd Ste 205
Pembroke Pines, FL 33024-6415
Phone (954) 744-4182

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
RBT-23-286737FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Broward Behavioral and Community Services, Inc CurrentSince Jan 21, 2024 Accepting new patients

Locations

9050 Pines Blvd
Ste 205
Pembroke Pines, FL 33024
Phone (954) 744-4182

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1962263749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD STE 205",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246415",
            "telephone_number": "954-744-4182",
            "fax_number": "954-842-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD STE 205",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246415",
            "telephone_number": "954-744-4182",
            "fax_number": "954-842-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULEN TABLADA",
        "first_name": "AYREN",
        "middle_name": "DIARELIS",
        "name_prefix": "Miss",
        "credential": "RBT-23-286737",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-286737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

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

Verify at the official NPI Registry.