Active NPI
Abel Alejandro Pena
- Behavior Technician
- Palm Springs, FL
National Provider Identifier
1053172494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB1017759
- Practice address
- 319 Shady Lane Rd
Palm Springs, FL 33461-1822 - Phone
- (561) 281-6729
- NPI assigned
- Jan 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB1017759 | FL | Primary |
Addresses
Primary practice location
319 Shady Lane Rd
Palm Springs, FL 33461-1822
Mailing address
319 Shady Lane Rd
Palm Springs, FL 33461-1822
Phone (561) 281-6729
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 |
|---|---|---|---|
| BACB1017759 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1053172494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 SHADY LANE RD",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334611822",
"telephone_number": "561-281-6729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 SHADY LANE RD",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334611822",
"telephone_number": "561-281-6729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "ABEL",
"middle_name": "ALEJANDRO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-22",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "BACB1017759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.