Active NPI
Kelly Quintero
- Behavior Technician
- Homestead, FL
National Provider Identifier
1043000623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 23881 SW 125TH Ave
Homestead, FL 33032-2605 - Phone
- (786) 282-8278
- NPI assigned
- May 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-271826 | FL | |
| Behavior Technician | 106S00000X | NC | Primary |
Addresses
Primary practice location
23881 SW 125TH Ave
Homestead, FL 33032-2605
Mailing address
2920 Wicklow St Unit 315
Savannah, GA 31404-1154
Phone (786) 282-8278
Other practice location 1
4000 Sancar Way Ste 410
Durham, NC 27713-2891
Phone (919) 371-2848
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-271826 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1043000623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 WICKLOW ST UNIT 315",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314041154",
"telephone_number": "786-282-8278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23881 SW 125TH AVE",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330322605",
"telephone_number": "786-282-8278"
}
],
"practiceLocations": [
{
"address_1": "4000 Sancar Way Ste 410",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277132891",
"country_code": "US",
"telephone_number": "919-371-2848",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUINTERO",
"first_name": "KELLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-08",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-23-271826",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.