Individual provider Active NPI

Lissett Scarlet D' Gregorio, RBT

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1164185070
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
110452400 Issued in FL
Practice address
8785 SW 165TH Ave Ste 104
Miami, FL 33193-5827
Phone
(786) 206-6500
NPI assigned
Oct 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 110452400 FL Primary

Addresses

Primary practice location

8785 SW 165TH Ave Ste 104
Miami, FL 33193-5827

Mailing address

13700 NE 1St Ave
Miami, FL 33161-2722
Phone (786) 546-3188

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

LicenseStateTypeSpecialty
110452400FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1164185070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 NE 1ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331612722",
            "telephone_number": "786-546-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8785 SW 165TH AVE STE 104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331935827",
            "telephone_number": "786-206-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D' GREGORIO",
        "first_name": "LISSETT",
        "middle_name": "SCARLET",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "110452400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.