Enmanuel Tesouro, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

20149895 Issued in FL

Practice address

5180 W Atlantic Ave Ste 112
Delray Beach, FL 33484-8103

Phone

(561) 674-9996

NPI assigned

Jan 19, 2021

Last updated

Jan 19, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Enmanuel Tesouro Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1023608544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BONNIE BLVD APT 117",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334611319",
            "telephone_number": "561-566-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 W ATLANTIC AVE STE 112",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848103",
            "telephone_number": "561-674-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESOURO",
        "first_name": "ENMANUEL",
        "name_prefix": "Mr.",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "20149895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ENMANUEL",
            "last_name": "TESOURO",
            "prefix": "DR.",
            "credential": "RBT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Telemedico Physicians Cardiology PA (Alteas Health)
• Telemedico Physicians Pulmonary PA (Alteash Health)
• Marina Teplitsky, M.D.
• Terrace of Delray Beach LLC (The Terrace of Delray Beach Nursing and Rehabilitation Center)
• Dyes Tervil
• Valeska Testamarck
• Testocore HRT Solutions LLC
• David Texeira
• Craig H Thame, M.D.
• Walter Mariano Thamsten, LMHC

• Behavior Technician in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.