Active NPI
Carmen Andreina Cuervo, N/A
- Behavior Technician
- Palm Springs, FL
National Provider Identifier
1104330323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-70496
- Practice address
- 3557 Forest Hill Blvd Apt 50
Palm Springs, FL 33406-5857 - Phone
- (954) 610-8589
- NPI assigned
- Nov 27, 2017
- Last updated
- Oct 28, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-70496 | FL | Primary |
Addresses
Primary practice location
3557 Forest Hill Blvd Apt 50
Palm Springs, FL 33406-5857
Mailing address
3557 Forest Hill Blvd Apt 50
Palm Springs, FL 33406-5857
Phone (954) 610-8589
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-18-70496 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1104330323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3557 FOREST HILL BLVD APT 50",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334065857",
"telephone_number": "954-610-8589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3557 FOREST HILL BLVD APT 50",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334065857",
"telephone_number": "954-610-8589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUERVO",
"first_name": "CARMEN",
"middle_name": "ANDREINA",
"name_prefix": "Mrs.",
"credential": "N/A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-27",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-18-70496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Springs, FL
- Csi Private Duty Services, Inc (Friends Assisting Seniors and Families)
- Csi-Pediatric Services, LLC. (CSI Special Care)
- CTMD Medical Center PA
- Lorena Cuella Gonzalez
- Alexi Cuellar Guerrero
- Zabeth Catalina Cure Lopez, M.D.
- D-Way to Go
- D&D Behavior Therapy's Kings Corp
- D&V Multiservices and Taxes Inc
- Naine Silva Da Rocha
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.