Desirae Aquiningoc

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT1624513 Issued in NU

Practice address

782 Foxridge Center Dr
Orange Park, FL 32065-5776

Phone

(904) 538-0713

Fax

(904) 538-0714

NPI assigned

May 23, 2017

Last updated

Feb 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1134657018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 FORTUNE PKWY UNIT 903",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566755",
            "telephone_number": "904-538-0713",
            "fax_number": "904-538-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 FOXRIDGE CENTER DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320655776",
            "telephone_number": "904-538-0713",
            "fax_number": "904-538-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUININGOC",
        "first_name": "DESIRAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": "RBT1624513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna-Marie Veneracion-Yumul, MD, PA (North Florida Family Psychiatry)
• Shawn Michael Anthony
• Antoinette N. Koe M.D, P.a
• Maria Antonio-Miranda, M.D.
• Sriramulu Aprameya, M.D.
• Ara-Orange Park LLC (Northeast Florida Dialysis Center)
• Alberto Cardoso Araujo
• Gregory A Archambault, DMD
• Dennis Alfred Archer, RRT
• Maria Del Carmen Archuleta Pintor, PA-C

• Behavior Technician in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.