Individual provider Active NPI

Kiara Tuduri Reyes, RBT

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1013583111
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-159943 Issued in FL
Practice address
12805 SW 76TH Ter
Miami, FL 33183-4204
Phone
(859) 618-9599
Fax
(786) 279-0915
NPI assigned
May 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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-21-159943 FL Primary

Addresses

Primary practice location

12805 SW 76TH Ter
Miami, FL 33183-4204

Mailing address

15251 SW 23Rd LN
Miami, FL 33185-5700
Phone (305) 227-3093

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-21-159943FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Acme Care and Services, Inc. PastSince Jun 22, 2021 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": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1013583111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15251 SW 23RD LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855700",
            "telephone_number": "305-227-3093",
            "fax_number": "786-279-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12805 SW 76TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834204",
            "telephone_number": "859-618-9599",
            "fax_number": "786-279-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUDURI REYES",
        "first_name": "KIARA",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-159943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.