Individual provider Active NPI

Maria Pedroso

  • Behavior Technician
  • Key West, FL
National Provider Identifier
1083369706
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-193877 Issued in FL
Practice address
955 Caroline St Ste 206-1
Key West, FL 33040-6732
Phone
(786) 475-5732
Fax
(844) 455-3224
NPI assigned
Feb 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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-21-193877 FL Primary

Addresses

Primary practice location

955 Caroline St Ste 206-1
Key West, FL 33040-6732

Mailing address

955 Caroline St Ste 206-1
Key West, FL 33040-6732
Phone (786) 475-5732

Other practice location 1

1535 N Goldeneye Ln
Homestead, FL 33035-1037
Phone (786) 212-5530

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-21-193877FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Behavioral Analysis PastSince Aug 1, 2019 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.

NPI Registry JSON

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1083369706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 CAROLINE ST STE 206-1",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330406732",
            "telephone_number": "786-475-5732",
            "fax_number": "844-455-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 CAROLINE ST STE 206-1",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330406732",
            "telephone_number": "786-475-5732",
            "fax_number": "844-455-3224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1535 N Goldeneye Ln",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330351037",
            "country_code": "US",
            "telephone_number": "786-212-5530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDROSO",
        "first_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-193877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.