Robert Peek III, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-227890 Issued in FL

Practice address

12086 Fort Caroline Rd Ste 102
Jacksonville, FL 32225-2688

Phone

(904) 415-1609

Fax

(904) 485-8298

NPI assigned

Aug 29, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ruby Beach Behavioral Pediatrics LLC

  • Behavior Analyst
  • Jacksonville, FL
  • NPI 1407527385
  NPD

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1144940560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12086 FORT CAROLINE RD STE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322252688",
            "telephone_number": "904-415-1609",
            "fax_number": "904-485-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12086 FORT CAROLINE RD STE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322252688",
            "telephone_number": "904-415-1609",
            "fax_number": "904-485-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEEK",
        "first_name": "ROBERT",
        "name_suffix": "III",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-22-227890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "ReThink",
            "affiliation": "N",
            "endpointDescription": "EMR System",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12086 Fort Caroline Rd Ste 102",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322252688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mayelin Pedraja Calzada
• Otto Pedraza, PHD
• Andrea Pedro
• Adriana Pedroso
• Minerva V Pedroza, APRN, NP-C
• Jeanne M Peel, MS, LMFT
• Jeffrey Brent Peel, MD
• Deandre Peerman
• Peersmax LLC
• Peggi S Wegener Eds Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.