Debora Alvarez

Individual provider Active NPI Behavior Technician · Riverview, FL

NPI 1023680485 · NPPES record last updated Aug 31, 2022

Key facts

NPI
1023680485
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
RBT-21-174784 (FL)
Practice address
2748 S Falkenburg Rd Ste a
Riverview, FL 33578-2561
Phone
(800) 356-4049
Fax
(941) 485-0519
NPI assigned
Jul 15, 2021
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RBT-21-174784FLMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-174784 FL Yes

Addresses

Primary practice location

2748 S Falkenburg Rd Ste a
Riverview, FL 33578-2561

Mailing address

PO Box 631278
Cincinnati, OH 45263-1278
Phone (800) 356-4049

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 31, 2022.

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1023680485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631278",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631278",
            "telephone_number": "800-356-4049",
            "fax_number": "941-485-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2748 S FALKENBURG RD STE A",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335782561",
            "telephone_number": "800-356-4049",
            "fax_number": "941-485-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "DEBORA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-174784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

All providers in Riverview, FL · Behavior Technician in Florida

Sources for this page

Verify at the official NPI Registry.