Carol Maria Cortes de Juarez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2281 Hagen Ave
Deltona, FL 32738-2909

Phone

(386) 307-7912

NPI assigned

Sep 23, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1124845011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2281 HAGEN AVE",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327382909",
            "telephone_number": "386-307-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2281 HAGEN AVE",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327382909",
            "telephone_number": "386-307-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTES DE JUAREZ",
        "first_name": "CAROL",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Blaine Conrey, LMT
• Clara Cook
• Cora Health Services, Inc
• Marcel Reginia Cornelius, RN
• Cherish Cornelous
• Kayla Marlene Cothran
• Sol Angel Cowart
• Alicia Crews, PMHNP
• Jeffrey S Cross, PHARMD
• Joshua Crump

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.