Active NPI
Nicholas Myles Eckert, RBT-22-225842
- Behavior Technician
- Wellington, FL
National Provider Identifier
1174242978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-225842
- Practice address
- 1688 Old Cypress Trail
Wellington, FL 33414 - Phone
- (561) 214-0375
- NPI assigned
- Aug 24, 2022
- Last updated
- Aug 24, 2022
- 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-22-225842 | FL | Primary |
Addresses
Primary practice location
1688 Old Cypress Trail
Wellington, FL 33414
Mailing address
623 W Weatherbee Rd
Fort Pierce, FL 34982-6957
Phone (772) 203-4518
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-22-225842 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1174242978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "623 W WEATHERBEE RD",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349826957",
"telephone_number": "772-203-4518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1688 OLD CYPRESS TRAIL",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "33414",
"telephone_number": "561-214-0375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKERT",
"first_name": "NICHOLAS",
"middle_name": "MYLES",
"credential": "RBT-22-225842",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-24",
"last_updated": "2022-08-24",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-22-225842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.