MISLEIVIS MEDINA PEREZ (NPI# 1770054546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770054546 |
| Entity Type | Individual |
| Full Name | MISLEIVIS MEDINA PEREZ |
| Practice Address |
11890 Sw 8th St Ste 309 Miami FL 33184-1710 |
| Mailing Address |
15451 Sw 80th St Apt 105 Miami FL 33193-2614 |
| Practice Telephone | 3052206060 |
| Mailing Telephone | 7863553038 |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2018-12-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 022396200 | 05 |
| Street Address |
11890 SW 8TH ST STE 309 |
| City | MIAMI |
| State | FL |
| Zip Code | 33184-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245705813 | Ariel Lopez Fernandez | Behavior Technician | 11890 Sw 8th St Ste 309, Miami, FL 33184-1710 | 2018-10-09 |
| 1912525551 | Cindy Lopez Reyna | Assistant Behavior Analyst | 11890 Sw 8th St Ste 309, Miami, FL 33184-1710 | 2020-07-09 |
| 1346899424 | Chabelly Caridad Valle | Behavior Technician | 11890 Sw 8th St Ste 309, Miami, FL 33184-1710 | 2019-09-10 |
| 1982176681 | Lilianis Hernandez Prieto | Behavior Technician | 11890 Sw 8th St Ste 309, Miami, FL 33184-1710 | 2018-12-19 |
| 1568930915 | Rolando Davila | Behavior Technician | 11890 Sw 8th St Ste 309, Miami, FL 33184-1710 | 2018-11-04 |
| 1154899672 | Katia Elena Suarez | Behavior Technician | 11890 Sw 8th St Ste 309, Miami, FL 33184-1710 | 2018-11-02 |
| 1316412638 | Ileana Perez Diaz | Behavior Technician | 11890 Sw 8th St Ste 309, Miami, FL 33184-1710 | 2018-10-13 |
| 1265907505 | Narciso Rodriguez | Behavior Technician | 11890 Sw 8th St Ste 309, Miami, FL 33184-1710 | 2018-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326657867 | Aime Nunez | Behavior Technician | 1205 Sw 136th Place, Miami, FL 33184 | 2020-07-30 |
| 1518575067 | Psych Healing Institute LLC | Community/Behavioral Health | 12542 Sw 8th Street, Miami, FL 33184 | 2020-07-21 |
| 1972139293 | Mavis Mendive De La Torre | Behavior Technician | 13797 Sw 14 St, Miami, FL 33184 | 2020-03-18 |
| 1902376544 | Kenia Roque | Behavior Technician | 11890 Sw 8 St Suite 309, Miami, FL 33184 | 2018-11-27 |
| 1205322179 | Yolaxis Alvarez | Case Manager/Care Coordinator | 931 Sw 122 Ave, Miami, FL 33184 | 2018-07-03 |
| 1265922819 | Expedited Medical Supplies Corp | Durable Medical Equipment & Medical Supplies | 12206 Sw 8th St, Suite 157, Miami, FL 33184 | 2018-05-18 |
| 1144728056 | Liz G San Martin | Nurse Practitioner | 1019 Sw 137th Pl, Miami, FL 33184 | 2018-01-25 |
| 1699280222 | Lourdes Castillo | Behavior Technician | 12015 Sw 14th St, Suite 310c, Miami, FL 33184 | 2017-12-05 |
| 1972014892 | Lisandra Lastra | Behavior Technician | 13803 Sw 9th St, Miami, FL 33184 | 2017-10-18 |
| 1265941991 | Ileana Beltran | Behavior Technician | 12010 Sw 2nd St, Miami, FL 33184 | 2017-09-26 |
| Find all providers in zip 33184 | ||||
| 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 |
|---|---|---|---|---|
| 1306447099 | Allan Ramirez | Behavior Technician | 13805 Sw 26th Ter, Miami, FL 33175-6575 | 2020-11-08 |
| 1750982518 | Jesus M Perez | Behavior Technician | 117 Nw 42nd Ave Apt 812, Miami, FL 33126-5430 | 2020-11-06 |
| 1841891850 | Gicle Gonzalez | Behavior Technician | 10940 Sw 38th St, Miami, FL 33165-4442 | 2020-11-05 |
| 1821699711 | Ariadna Gonzalez Forte | Behavior Technician | 400 Sw 2nd St Apt 104, Miami, FL 33130-1496 | 2020-11-05 |
| 1215538335 | Wendy Sanjurjo Del Hierro I | Behavior Technician | 15336 Sunset Dr, Apt 1011, Miami, FL 33193 | 2020-11-04 |
| 1457952749 | Greta Martinez | Behavior Technician | 11751 Sw 180th St, Miami, FL 33177-2410 | 2020-11-04 |
| 1124629217 | Mari Araoz Canedo | Behavior Technician | 3606 Nw 5th Ave Apt 508, Miami, FL 33127-3167 | 2020-11-04 |
| 1750982831 | Mailyn Padin Gomez | Behavior Technician | 510 Nw 114th Ave Apt 102, Miami, FL 33172-4737 | 2020-11-04 |
| 1104427384 | Yudnielis Rodriguez | Behavior Technician | 20105 Sw 122nd Ave Apt 105, Miami, FL 33177-5277 | 2020-11-04 |
| 1336740711 | Yisel Marquez Fernandez | Behavior Technician | 11419 Sw 5th St, Miami, FL 33174-1050 | 2020-11-03 |
| Find all providers in MIAMI | ||||
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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.