Active NPI
Patricia Paola Flores
- Behavior Technician
- Kissimmee, FL
National Provider Identifier
1194463687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB767374
- Practice address
- 2279 Rio Grande Canyon Loop
Kissimmee, FL 34759-5964 - Phone
- (786) 872-4869
- NPI assigned
- May 24, 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 | BACB767374 | FL | Primary |
Addresses
Primary practice location
2279 Rio Grande Canyon Loop
Kissimmee, FL 34759-5964
Mailing address
2279 Rio Grande Canyon Loop
Kissimmee, FL 34759-5964
Phone (786) 872-4769
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 |
|---|---|---|---|
| BACB767374 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child Behavior Center, Inc | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Kissimmee, FL
- NPI 1518657865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1194463687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2279 RIO GRANDE CANYON LOOP",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347595964",
"telephone_number": "786-872-4769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2279 RIO GRANDE CANYON LOOP",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347595964",
"telephone_number": "786-872-4869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "PATRICIA",
"middle_name": "PAOLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-24",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "BACB767374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
- Jeanivette Flores Carrasquillo
- Cynthia Jane Dietscher Flores
- Dionisio C Flores, M.D.
- Felipe De Jesus Flores, MD
- Lilia Rosa Flores, APRN, FNP-BC
- Caroline Florez
- Florida Adult & Child Psychiatry, Inc
- Florida Arthritis & Rheumatism, Inc.
- Florida Autism Center
- Florida Cancer Specialists & Research Institute, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.