Individual provider Active NPI

Matilde Martinez Sarria

  • Assistant Behavior Analyst
  • Miami, FL
National Provider Identifier
1972254340
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
BCABA-0-21-12376 Issued in FL
Practice address
5275 NW 29TH Ave
Miami, FL 33142-8829
Phone
(727) 608-9624
NPI assigned
Jan 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X BCABA-0-21-12376 FL Primary

Addresses

Primary practice location

5275 NW 29TH Ave
Miami, FL 33142-8829

Mailing address

5275 NW 29TH Ave
Miami, FL 33142-8829
Phone (727) 608-9624

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

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1972254340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 NW 29TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331428829",
            "telephone_number": "727-608-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 NW 29TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331428829",
            "telephone_number": "727-608-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ SARRIA",
        "first_name": "MATILDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "BCABA-0-21-12376",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 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.