Individual provider Active NPI

Tania Soto Mantilla, BCBA

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1992246342
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-20-42065 Issued in FL
Practice address
16430 SW 55TH Ter
Miami, FL 33185-5111
Phone
(786) 669-2619
NPI assigned
Mar 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-20-42065 FL Primary

Addresses

Primary practice location

16430 SW 55TH Ter
Miami, FL 33185-5111

Mailing address

16430 SW 55TH Ter
Miami, FL 33185-5111
Phone (786) 669-2619

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abc All Behavior Therapies, Corp Behavior Analyst CurrentSince Jul 1, 2020 Accepting new patients
Little Smiles ABA Services LLC Behavior Analyst Current Accepting new patients

Locations

8950 SW 152nd St
Ste 106
Palmetto Bay, FL 33157
Phone (305) 851-1124

Organizations & group practices 2

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": "1489795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1992246342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16430 SW 55TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855111",
            "telephone_number": "786-669-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16430 SW 55TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855111",
            "telephone_number": "786-669-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO MANTILLA",
        "first_name": "TANIA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-18",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-20-42065",
            "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 Feb 21, 2023; 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.