IndividualActive
Mirlay Licea Illas
NPI 1710729710 · Behavior Technician · Miami Gardens, FL
Mirlay Licea Illas is a Behavior Technician provider in Miami Gardens, FL (NPI 1710729710).
Provider details
- NPI number
- 1710729710
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- RBT-24-352262 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
18031 Nw 47th Ct
Miami Gardens, FL 33055-3204
Phone: (786) 793-3317
Street-level locationGet directions
Mailing address
18031 Nw 47th Ct
Miami Gardens, FL 33055-3204
Registry dates
- Enumerated
- 2024-06-10
- Last updated
- 2024-06-10
- Certified
- 2024-06-10
Frequently asked questions
- What is Mirlay Licea Illas's NPI number?
- Mirlay Licea Illas's National Provider Identifier (NPI) is 1710729710, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mirlay Licea Illas's specialty?
- Mirlay Licea Illas is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Mirlay Licea Illas located?
- Mirlay Licea Illas's practice location on file with NPPES is 18031 Nw 47th Ct, Miami Gardens, FL 33055-3204.
- What is Mirlay Licea Illas's phone number?
- The practice phone number listed in the NPPES registry for Mirlay Licea Illas is (786) 793-3317.
- Is Mirlay Licea Illas's NPI active?
- Yes — Mirlay Licea Illas's NPI (1710729710) is active in the NPPES registry as of the last update on 2024-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.