Individual provider Active NPI

Grissel Guerrero Costa, RBT

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1124784277
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT20125125 Issued in FL
Practice address
9000 SW 137TH Ave Ste 103
Miami, FL 33186-1435
Phone
(305) 671-3503
Fax
(305) 671-3305
NPI assigned
Nov 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X RBT20125125 FL Primary

Addresses

Primary practice location

9000 SW 137TH Ave Ste 103
Miami, FL 33186-1435

Mailing address

11475 SW 57TH St
Miami, FL 33173-1003
Phone (786) 306-3679

Other identifiers 1

IdentifierTypeStateIssuer
RBT20125125OtherFLRBT BOARD

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
RBT20125125FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Collaborative Care Solutions, LLC Single Specialty CurrentSince Nov 16, 2021 Accepting new patients

Locations

9000 SW 137th Ave
Ste 103
Miami, FL 33186
Phone (305) 671-3503

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": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1124784277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11475 SW 57TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731003",
            "telephone_number": "786-306-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 SW 137TH AVE STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331861435",
            "telephone_number": "305-671-3503",
            "fax_number": "305-671-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO COSTA",
        "first_name": "GRISSEL",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT20125125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT BOARD",
            "identifier": "RBT20125125",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.

Verify at the official NPI Registry.