Active NPI
Samantha Rojas
- Behavior Technician
- Dade City, FL
National Provider Identifier
1124800610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 23302041
- Practice address
- 13424 Fort King Rd
Dade City, FL 33525-5214 - Phone
- (352) 584-2627
- NPI assigned
- Oct 18, 2023
- 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 | 23302041 | FL | Primary |
Addresses
Primary practice location
13424 Fort King Rd
Dade City, FL 33525-5214
Mailing address
5608 Wandering Willow Dr
Wesley Chapel, FL 33545-3318
Phone (516) 405-9463
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 |
|---|---|---|---|
| 23302041 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1124800610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5608 WANDERING WILLOW DR",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335453318",
"telephone_number": "516-405-9463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13424 FORT KING RD",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335255214",
"telephone_number": "352-584-2627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROJAS",
"first_name": "SAMANTHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-18",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "23302041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dade City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.