SHOUBERTE ABREU, M.S. — NPI 1629422761 (Licensed & Credentialed Behavior Analyst in MIAMI, FL)

CMS-1500 Box 24J / 33a • NPI

1629422761

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103K00000X

Licensed & Credentialed Behavior Analyst

Box 32 Service Location & ZIP+4

9964 N KENDALL DR APT 823, MIAMI, FL, 33176-2224

✓ 9-Digit EDI 837 ZIP+4 (33176-2224)

Practice Phone & Referral Fax

(305) 747-3080

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1629422761 (SHOUBERTE ABREU, M.S.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1629422761` (NPI-1 Individual Practitioner)
Provider / Legal Name	SHOUBERTE ABREU, M.S.
Plain-English Specialty	Licensed & Credentialed Behavior Analyst NUCC Code: `103K00000X` (Behavior Analyst)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	9964 N KENDALL DR APT 823, MIAMI, FL, 33176-2224
Practice Telephone / Fax	Tel: (305) 747-3080
Administrative Mailing Address	9964 N KENDALL DR APT 823, MIAMI, FL, 33176-2224
Enumeration & Last Sync	Enumerated: 2016-04-14 \| CMS Record Updated: 2025-08-07

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

9964 N KENDALL DR APT 823, MIAMI, FL, 33176-2224

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Plain-English Taxonomy & CMS Crosswalk (103K00000X)

What Does Taxonomy Code 103K00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103K00000X translates to:
"Licensed & Credentialed Behavior Analyst"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Behavior Analyst for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SHOUBERTE ABREU, M.S.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`106S00000X` — Behavior Technician Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Technician	State: N/A \| License: `Verified` \| Primary: Secondary
`222Q00000X` — Developmental Therapist Plain English: Licensed & Credentialed Developmental Therapist	State: FL \| License: `Verified` \| Primary: Secondary
`247200000X` — Technician, Other Plain English: Licensed & Credentialed Technologists, Technicians & Other Technical Service Providers — Technician, Other	State: N/A \| License: `Verified` \| Primary: Secondary
`252Y00000X` — Early Intervention Provider Agency Plain English: Licensed & Credentialed Early Intervention Provider Agency	State: N/A \| License: `Verified` \| Primary: Secondary
`103K00000X` — Behavior Analyst Plain English: Licensed & Credentialed Behavior Analyst	State: NC \| License: `1446` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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SHOUBERTE ABREU, M.S. (NPI #1629422761)