GENESIS MARIAN MENDOZA (NPI# 1104393859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104393859 |
| Entity Type | Individual |
| Full Name | GENESIS MARIAN MENDOZA |
| Practice Address |
10200 Nw 25th St Ste 211 Doral FL 33172-5927 |
| Practice Telephone | 7862693502 |
| Mailing Telephone | 7862693502 |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-12-14 |
| NPI Deactivation Date | 11/12/2018 |
| NPI Reactivation Date | 2018-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
10200 NW 25TH ST STE 211 |
| City | DORAL |
| State | FL |
| Zip Code | 33172-5927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447508601 | Christine Luzuriaga | Speech-Language Pathologist | 10200 Nw 25th St Ste 211, Doral, FL 33172-5927 | 2012-08-20 |
| 1598396228 | Marcos Joel Cortes | Behavior Technician | 10200 Nw 25th St Ste 211, Doral, FL 33172-5927 | 2020-01-31 |
| 1457993552 | Jenny Rugama | Behavior Technician | 10200 Nw 25th St Ste 211, Doral, FL 33172-5927 | 2019-10-10 |
| 1003462805 | Ana Isabel Quintanal | Behavioral Analyst | 10200 Nw 25th St Ste 211, Doral, FL 33172-5927 | 2019-08-16 |
| 1083270375 | Nikita Lashantee Whitely | Behavioral Analyst | 10200 Nw 25th St Ste 211, Doral, FL 33172-5927 | 2019-05-13 |
| 1679138614 | Nancy Romariz Torres | Behavioral Analyst | 10200 Nw 25th St Ste 211, Doral, FL 33172-5927 | 2019-05-06 |
| 1912477381 | Crystal Marte | Behavioral Analyst | 10200 Nw 25th St Ste 211, Doral, FL 33172-5927 | 2018-11-28 |
| 1760970594 | Misleiny Acosta Valdes | Behavioral Analyst | 10200 Nw 25th St Ste 211, Doral, FL 33172-5927 | 2018-04-26 |
| 1194224865 | Natalee Aralis Collazo | Assistant Behavior Analyst | 10200 Nw 25th St Ste 211, Doral, FL 33172-5927 | 2018-02-07 |
| 1548775141 | Grethel Virginia Bolanos | Behavioral Analyst | 10200 Nw 25th St Ste 211, Doral, FL 33172-5927 | 2017-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801366463 | Magela De Las Mercedes Rodriguez | Behavior Technician | 11252 Nw 6 Street, Miami, FL 33172 | 2018-11-27 |
| 1477030666 | Natacha Garcia | Behavior Technician | 181 Nw 97 Ave Apto 416, Miami, FL 33172 | 2018-07-20 |
| 1720578701 | Marisela Hernandez | Behavioral Analyst | 10825 Nw 7th St Apt 12, Miami, FL 33172 | 2018-05-15 |
| 1083113054 | Fuerza Vital Medical Institute, Corp | Speech-Language Pathologist | 8725 Nw 18 Terr Suite 209, Doral, FL 33172 | 2018-02-06 |
| 1063923522 | Kristen Nicole Otero | Counselor | 1414 Nw 107 Ave Suite 109, Doral, FL 33172 | 2017-10-23 |
| 1003327339 | All Orthopedic Supplies Corp | Prosthetic/Orthotic Supplier | 175 Fontainbleau Blvd, Ste P1, Miami, FL 33172 | 2017-10-13 |
| 1861901944 | Lyanne M Melendez | Speech-Language Pathologist | 1750 Nw 107 Ave, Unit P-901, Miami, FL 33172 | 2017-09-21 |
| 1295259166 | Family Tender Care Services Inc | Behavioral Analyst | 9360 Fontainebleau Blvd, Unit 514, Miami, FL 33172 | 2017-08-01 |
| 1992229074 | Maria F Palabez | Behavior Technician | 9369 Fontainebleau Blvd J225, Miami, FL 33172 | 2017-07-31 |
| 1700306602 | Jenny Lemus | Behavior Technician | 10200 Nw 25th St Suite 205, Doral, FL 33172 | 2017-06-21 |
| Find all providers in zip 33172 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609783 | Ariday Sosa | Behavior Technician | 9600 Nw 25th St Ph Suite, Doral, FL 33172-1416 | 2020-11-06 |
| 1225644875 | Dulce Teran | Behavior Technician | 10200 Nw 51st Ter, Doral, FL 33178-3205 | 2020-09-18 |
| 1508472366 | Fabiola Maria Aragon | Behavior Technician | 10841 Nw 73rd Ter, Doral, FL 33178-3746 | 2020-09-17 |
| 1164034039 | Victoria E Rojas | Behavior Technician | 5732 Nw 112th Ct, Doral, FL 33178-3866 | 2020-08-20 |
| 1346858370 | Yelisbell Machado Romero | Behavior Technician | 11232 Nw 54th Ter, Doral, FL 33178-3813 | 2020-07-15 |
| 1265050082 | Maria Garzon | Behavior Technician | 10311 Nw 58th St, Doral, FL 33178-2819 | 2020-07-08 |
| 1720604192 | Olga Fuchs Maure | Behavior Technician | 8120 Geneva Ct Apt D454, Doral, FL 33166-7804 | 2020-06-22 |
| 1154957900 | Dawn Denise Barrios | Behavior Technician | 7875 Nw 12th St Ste 120, Doral, FL 33126-1815 | 2020-03-12 |
| 1801421433 | Piero Marcelo Echegaray | Behavior Technician | 7735 Nw 48th St Ste 110, Doral, FL 33166-5407 | 2020-03-04 |
| 1750915278 | Ana Mayleth Peralta Enciso | Behavior Technician | 8160 Geneva Ct Apt 516, Doral, FL 33166-7844 | 2020-02-24 |
| Find all providers in DORAL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.