Active NPI
Anavid Crespo
- Behavior Technician
- Cocoa, FL
National Provider Identifier
1144979204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-205804
- Practice address
- 7075 N Highway 1
Cocoa, FL 32927-5216 - Phone
- (321) 888-3020
- Fax
- (661) 263-4584
- NPI assigned
- Mar 23, 2022
- Sex
- Female
- Sole proprietor
- No
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 | RBT-22-205804 | FL | Primary |
Addresses
Primary practice location
7075 N Highway 1
Cocoa, FL 32927-5216
Mailing address
7075 N Highway 1
Cocoa, FL 32927-5216
Phone (321) 888-3020
Other practice location 1
4647 Clyde Morris Blvd
Port Orange, FL 32129-3000
Phone (386) 767-3752
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clientintake@dtrategieincaba.com | Direct |
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 |
|---|---|---|---|
| RBT-22-205804 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1144979204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7075 N HIGHWAY 1",
"city": "COCOA",
"state": "FL",
"postal_code": "329275216",
"telephone_number": "321-888-3020",
"fax_number": "661-263-4584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7075 N HIGHWAY 1",
"city": "COCOA",
"state": "FL",
"postal_code": "329275216",
"telephone_number": "321-888-3020",
"fax_number": "661-263-4584"
}
],
"practiceLocations": [
{
"address_1": "4647 Clyde Morris Blvd",
"address_purpose": "LOCATION",
"city": "Port Orange",
"state": "FL",
"postal_code": "321293000",
"country_code": "US",
"telephone_number": "386-767-3752",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRESPO",
"first_name": "ANAVID",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-23",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-22-205804",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clientintake@dtrategieincaba.com",
"affiliation": "N",
"endpointDescription": "Email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4647 Clyde Morris Blvd",
"city": "Port Orange",
"state": "FL",
"country_code": "US",
"postal_code": "321293000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cocoa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.