Marcos Ulices Mesa Villavicencio
Behavior Technician in Miami, FL. Individual provider (NPI-1).
NPI number1689407553
StatusActive
Last updated in NPPESAug 24, 2024
Details
- NPI
- 1689407553
- Entity type
- Individual (NPI-1)
- Name
- Mr. Marcos Ulices Mesa Villavicencio
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 24, 2024
- Certification date
- Aug 24, 2024
- Last updated
- Aug 24, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 24-3721176 | FL | Yes |
Practice location
300 Nw 114th Ave Apt 105Miami, FL 33172-4753
Phone 786-370-0439
Mailing address
300 Nw 114th Ave Apt 105Miami, FL 33172-4753
Phone 786-370-0439
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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