Individual provider Active NPI

Anet Alvarez Illas

  • Behavior Technician
  • Pembroke Pines, FL
National Provider Identifier
1174419998
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-365186 Issued in FL
Practice address
13250 SW 7TH CT Apt L318
Pembroke Pines, FL 33027-1842
Phone
(754) 236-5826
NPI assigned
Jun 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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 RBT-24-365186 FL Primary

Addresses

Primary practice location

13250 SW 7TH CT Apt L318
Pembroke Pines, FL 33027-1842

Mailing address

13250 SW 7TH CT Apt L318
Pembroke Pines, FL 33027-1842
Phone (754) 236-5826

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
RBT-24-365186FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1174419998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13250 SW 7TH CT APT L318",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271842",
            "telephone_number": "754-236-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13250 SW 7TH CT APT L318",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271842",
            "telephone_number": "754-236-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ ILLAS",
        "first_name": "ANET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-365186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.