Individual provider Active NPI

Alejandra Vanessa Luzardo, RBT-26-543574

  • Behavior Technician
  • Pembroke Pines, FL
National Provider Identifier
1114852860
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-26-543574 Issued in FL
Practice address
1621 SW 102ND Ave
Pembroke Pines, FL 33025-4768
Phone
(754) 736-4035
NPI assigned
Jun 15, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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-26-543574 FL Primary

Addresses

Primary practice location

1621 SW 102ND Ave
Pembroke Pines, FL 33025-4768

Mailing address

1621 SW 102ND Ave
Pembroke Pines, FL 33025-4768

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

NPI Registry JSON

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

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1114852860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 SW 102ND AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330254768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 SW 102ND AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330254768",
            "telephone_number": "754-736-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUZARDO",
        "first_name": "ALEJANDRA",
        "middle_name": "VANESSA",
        "credential": "RBT-26-543574",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-26-543574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.