Irma Aleyda Suarez Rodriguez, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-86729 Issued in FL

Practice address

6801 Lake Worth Rd Ste 322
Greenacres, FL 33467-2966

Phone

(561) 771-9561

Fax

(800) 766-3139

NPI assigned

Jan 7, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1104466291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 SUMTER RD W",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334153671",
            "telephone_number": "561-543-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 LAKE WORTH RD STE 322",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672966",
            "telephone_number": "561-771-9561",
            "fax_number": "800-766-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ RODRIGUEZ",
        "first_name": "IRMA",
        "middle_name": "ALEYDA",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-86729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105189200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amanda Stieve, SLP
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• Aniubys Suarez
• Camille Sullivan
• Ted Sume
• Sunshine Care at Home LLC
• Supporting Children, Inc

• Behavior Technician in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.