Active NPI
Rosmery Medina, MANAGING DIRECTOR
- Behavior Technician
- Dania Beach, FL
National Provider Identifier
1205535101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-257945
- Practice address
- 501 E Dania Beach Blvd Apt 1L
Dania Beach, FL 33004-3010 - Phone
- (305) 318-1402
- NPI assigned
- Feb 28, 2023
- Last updated
- Feb 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
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-23-257945 | FL | Primary |
Addresses
Primary practice location
501 E Dania Beach Blvd Apt 1L
Dania Beach, FL 33004-3010
Mailing address
501 E Dania Beach Blvd Apt 1L
Dania Beach, FL 33004-3010
Phone (305) 318-1402
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-23-257945 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677542400000",
"number": "1205535101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 E DANIA BEACH BLVD APT 1L",
"city": "DANIA BEACH",
"state": "FL",
"postal_code": "330043010",
"telephone_number": "305-318-1402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E DANIA BEACH BLVD APT 1L",
"city": "DANIA BEACH",
"state": "FL",
"postal_code": "330043010",
"telephone_number": "305-318-1402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "ROSMERY",
"credential": "MANAGING DIRECTOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-28",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-23-257945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dania Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.