Individual provider Active NPI

Nicole Rosario

  • Behavior Technician
  • Boca Raton, FL
National Provider Identifier
1023719762
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2500 N Military TRL Ste 304
Boca Raton, FL 33431-6324
Phone
(561) 421-5111
NPI assigned
Mar 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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 Primary

Addresses

Primary practice location

2500 N Military TRL Ste 304
Boca Raton, FL 33431-6324

Mailing address

745 Orienta Ave Ste 1011
Altamonte Springs, FL 32701-5675
Phone (877) 823-4283

Other practice location 1

745 Orienta Ave Ste 1011
Altamonte Springs, FL 32701-5675
Phone (877) 823-4283

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

Practice roles

OrganizationSpecialtyStatusNew patients
Weevolve, LLC CurrentSince Feb 2, 2025 Accepting new patients

Locations

2500 N Military Trl
Ste 304
Boca Raton, FL 33431
Phone (561) 421-5111

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": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1023719762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 ORIENTA AVE STE 1011",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015675",
            "telephone_number": "877-823-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N MILITARY TRL STE 304",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316324",
            "telephone_number": "561-421-5111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "745 Orienta Ave Ste 1011",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327015675",
            "country_code": "US",
            "telephone_number": "877-823-4283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSARIO",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.