Richard Anthony Jerez
Individual provider Active NPI Behavior Technician · Naranja, FL
NPI 1245768985 · NPPES record last updated Jan 28, 2019
Key facts
- NPI
- 1245768985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-18-74612 (FL)
- Practice address
- 27501 S Dixie Hwy Ste 403
Naranja, FL 33032-8219 - Phone
- (786) 601-2608
- Fax
- (305) 647-0250
- NPI assigned
- May 25, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-74612 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bio-Behavioral Corp. | Past | Accepting new patients | |
| Mission Counseling Group, PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-74612 | FL | Yes |
Addresses
Primary practice location
27501 S Dixie Hwy Ste 403
Naranja, FL 33032-8219
Mailing address
27501 S Dixie Hwy Ste 200
Naranja, FL 33032-8219
Phone (786) 601-2608
Other providers in Naranja, FL
- Growing Angels Inc.
- Oscar Guerra
- Indira Beatriz Gutierrez
- Malbi Hernandez Quintana
- Carlos Hernandez
- Alexander Stronach Jones
- Kinderkids Therapy Group Corp
- La Colonia Medical Center Inc
- La Colonia Wellness Center Homestead LLC
- Eric Loyd
All providers in Naranja, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.