Individual provider Active NPI

Evelyn De Las Mercedes Bravo Ramos

  • Behavior Technician
  • Homestead, FL
National Provider Identifier
1073291712
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-280519 Issued in FL
Practice address
24921 SW 118TH CT
Homestead, FL 33032-3311
Phone
(786) 765-6449
NPI assigned
Jul 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 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 RBT-23-280519 FL Primary

Addresses

Primary practice location

24921 SW 118TH CT
Homestead, FL 33032-3311

Mailing address

24921 SW 118TH CT
Homestead, FL 33032-3311
Phone (786) 765-6449

Other identifiers 1

IdentifierTypeStateIssuer
118865400MedicaidFL

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

LicenseStateTypeSpecialty
RBT-23-280519FLMDBehavior Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1073291712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24921 SW 118TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330323311",
            "telephone_number": "786-765-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24921 SW 118TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330323311",
            "telephone_number": "786-765-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO RAMOS",
        "first_name": "EVELYN",
        "middle_name": "DE LAS MERCEDES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-280519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118865400",
            "state": "FL"
        }
    ],
    "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 Sep 29, 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.