Individual provider Active NPI

Angel Enrique Carreno Aviles

  • Behavior Technician
  • Naranja, FL
National Provider Identifier
1023631389
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-117674 Issued in FL
Practice address
26720 SW 142ND Ave Apt 104
Naranja, FL 33032-5404
Phone
(786) 294-4349
NPI assigned
May 21, 2020
Last updated
May 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2020

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-20-117674 FL Primary

Addresses

Primary practice location

26720 SW 142ND Ave Apt 104
Naranja, FL 33032-5404

Mailing address

26720 SW 142ND Ave Apt 104
Naranja, FL 33032-5404
Phone (786) 294-4349

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-20-117674FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1023631389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26720 SW 142ND AVE APT 104",
            "city": "NARANJA",
            "state": "FL",
            "postal_code": "330325404",
            "telephone_number": "786-294-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26720 SW 142ND AVE APT 104",
            "city": "NARANJA",
            "state": "FL",
            "postal_code": "330325404",
            "telephone_number": "786-294-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRENO AVILES",
        "first_name": "ANGEL",
        "middle_name": "ENRIQUE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-117674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naranja, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.