Individual provider Active NPI

Youssef Ouazzani

  • Behavior Technician
  • New PRT Rchy, FL
National Provider Identifier
1225750003
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-22-235054 Issued in FL
Practice address
6533 River Rd
New PRT Rchy, FL 34652-2229
Phone
(727) 534-3234
NPI assigned
Sep 16, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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-22-235054 FL Primary

Addresses

Primary practice location

6533 River Rd
New PRT Rchy, FL 34652-2229

Mailing address

9005 Chantilly LN
Port Richey, FL 34668-5104

Other identifiers 1

IdentifierTypeStateIssuer
115593800MedicaidFL

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-22-235054FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Experts LLC Behavior Technician PastSince Sep 20, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1225750003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9005 CHANTILLY LN",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346685104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6533 RIVER RD",
            "city": "NEW PRT RCHY",
            "state": "FL",
            "postal_code": "346522229",
            "telephone_number": "727-534-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUAZZANI",
        "first_name": "YOUSSEF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-22-235054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115593800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New PRT Rchy, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.

Verify at the official NPI Registry.