Individual provider Active NPI

Sofia Cristina Rente

  • Behavior Analyst
  • Casselberry, FL
National Provider Identifier
1114674132
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-24-77217 Issued in FL
Practice address
198 Wilshire Blvd
Casselberry, FL 32707-5352
Phone
(407) 504-8950
NPI assigned
Mar 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-21-185398 FL
Behavior Analyst 103K00000X 1-24-77217 FL Primary

Addresses

Primary practice location

198 Wilshire Blvd
Casselberry, FL 32707-5352

Mailing address

455 Short Pine Cir
Orlando, FL 32807-6265
Phone (407) 864-4069

Other practice location 1

5575 S Semoran Blvd Ste 7
Orlando, FL 32822-1781
Phone (844) 331-6451

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-21-185398FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Soothing Response Behavioral Health Inc Behavior Analyst Current Accepting new patients
Amanda Sparrow Behavioral Services, LLC Behavior Analyst CurrentSince Nov 17, 2024 Accepting new patients

Locations

198 Wilshire Blvd
Casselberry, FL 32707
Phone (407) 504-8950

Organizations & group practices 2

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": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1114674132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SHORT PINE CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328076265",
            "telephone_number": "407-864-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 WILSHIRE BLVD",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075352",
            "telephone_number": "407-504-8950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5575 S Semoran Blvd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328221781",
            "country_code": "US",
            "telephone_number": "844-331-6451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENTE",
        "first_name": "SOFIA",
        "middle_name": "CRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-185398",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-24-77217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.