Individual provider Active NPI

Michele Fiorenza

  • Behavior Technician
  • Fort Pierce, FL
National Provider Identifier
1013627231
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-22-243368 Issued in FL
Practice address
906 Seminole Dr
Fort Pierce, FL 34982-7648
Phone
(772) 475-5313
NPI assigned
Nov 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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-22-243368 FL Primary

Addresses

Primary practice location

906 Seminole Dr
Fort Pierce, FL 34982-7648

Mailing address

532 SW Whitmore Dr
Port Saint Lucie, FL 34984-3570
Phone (561) 414-8395

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hbrolmann@atlantic-aba.com

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-22-243368FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1013627231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 SW WHITMORE DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349843570",
            "telephone_number": "561-414-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 SEMINOLE DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349827648",
            "telephone_number": "772-475-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORENZA",
        "first_name": "MICHELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-22-243368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hbrolmann@atlantic-aba.com",
            "affiliation": "N",
            "address_1": "906 Seminole Dr",
            "city": "Fort Pierce",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349827648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.