Individual provider Active NPI

Netzahualcoyolt Saavedra Llanes

  • Behavior Technician
  • Hialeah, FL
National Provider Identifier
1013574466
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-76507 Issued in FL
Practice address
8230 NW 178TH St
Hialeah, FL 33015-3652
Phone
(786) 486-1911
NPI assigned
May 21, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-76507 FL Primary

Addresses

Primary practice location

8230 NW 178TH St
Hialeah, FL 33015-3652

Mailing address

8230 NW 178TH St
Hialeah, FL 33015-3652
Phone (786) 486-1911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-19-76507FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Targeted Case Management of Florida, Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1013574466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 NW 178TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153652",
            "telephone_number": "786-486-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 NW 178TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153652",
            "telephone_number": "786-486-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAAVEDRA LLANES",
        "first_name": "NETZAHUALCOYOLT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-76507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.