Active NPI
Kaylin Angeliza Abreu
- Behavior Technician
- Wesley Chapel, FL
National Provider Identifier
1053916494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-202347
- Practice address
- 30250 Southwell LN
Wesley Chapel, FL 33543-5926 - Phone
- (813) 470-9566
- Fax
- (844) 220-9322
- NPI assigned
- Dec 3, 2020
- 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 Analyst | 103K00000X | RBT-22-202347 | FL | |
| Behavior Technician | 106S00000X | RBT-22-202347 | FL | Primary |
Addresses
Primary practice location
30250 Southwell LN
Wesley Chapel, FL 33543-5926
Mailing address
8910 N Dale Mabry Hwy Ste 38
Tampa, FL 33614-1500
Phone (813) 399-1396
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108134800 | Medicaid | FL |
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-22-202347 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missing Piece ABA LLC | Behavior Analyst | Current | Accepting new patients |
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.
-
- Behavior Analyst
- Wesley Chapel, FL
- NPI 1093311730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1053916494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8910 N DALE MABRY HWY STE 38",
"city": "TAMPA",
"state": "FL",
"postal_code": "336141500",
"telephone_number": "813-399-1396",
"fax_number": "813-773-6569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30250 SOUTHWELL LN",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335435926",
"telephone_number": "813-470-9566",
"fax_number": "844-220-9322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABREU",
"first_name": "KAYLIN",
"middle_name": "ANGELIZA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-03",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "RBT-22-202347",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-22-202347",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108134800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.