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MARIELIS LA O BCBA NPI 1114172202


NPI Information

NPI: 1114172202
Provider Name: MARIELIS LA O, BCBA
Classification: Behavior Analyst - 103K00000X
Entity Type: Individual
Address:
15136 SW 63RD
MIAMI, FL
ZIP 33193
Phone: (786) 253-2434
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Marielis La O, BCBA is a behavior analyst in Miami, FL. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. Marielis La O, BCBA NPI is 1114172202. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15136 SW 63RD
MIAMI, FL
ZIP 33193-052
Phone: (786) 253-2434
Fax: (305) 643-1345

The enumeration date for this NPI number is 11/18/2008 and was last updated on 6/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerNo
2104100000XSocial WorkerFLORIDANo
3103K00000XBehavior AnalystYes
4106E00000XAssistant Behavior AnalystFLORIDANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1017915400MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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