Active NPI
Carlos Alejandro Regueiro, RBT
- Behavior Technician
- Palm City, FL
National Provider Identifier
1164014445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-134411
- Practice address
- 1532 SW Mapp Rd
Palm City, FL 34990-2446 - Phone
- (772) 678-6704
- NPI assigned
- Feb 8, 2021
- Sex
- Male
- 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-20-134411 | FL | Primary |
Addresses
Primary practice location
1532 SW Mapp Rd
Palm City, FL 34990-2446
Mailing address
2500 N Military TRL Ste 304
Boca Raton, FL 33431-6324
Phone (561) 421-5111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108039400 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | n/a | 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-20-134411 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738800000000",
"number": "1164014445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N MILITARY TRL STE 304",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316324",
"telephone_number": "561-421-5111",
"fax_number": "561-421-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 SW MAPP RD",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349902446",
"telephone_number": "772-678-6704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REGUEIRO",
"first_name": "CARLOS",
"middle_name": "ALEJANDRO",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-08",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-20-134411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108039400",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "n/a",
"affiliation": "N",
"endpointDescription": "n/a",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2654 Sunshine Blvd",
"city": "Miramar",
"state": "FL",
"country_code": "US",
"postal_code": "330233765",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Palm City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.