Individual provider Active NPI

Aymee De la Caridad Pena Cordero

  • Behavior Technician
  • Homestead, FL
National Provider Identifier
1255055224
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-22-230866
Practice address
25900 SW 143Rd CT
Homestead, FL 33032-8947
Phone
(502) 656-9086
NPI assigned
Oct 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 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-22-230866 Primary

Addresses

Primary practice location

25900 SW 143Rd CT
Homestead, FL 33032-8947

Mailing address

25900 SW 143Rd CT
Homestead, FL 33032-8947
Phone (502) 656-9086

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

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1255055224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25900 SW 143RD CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328947",
            "telephone_number": "502-656-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25900 SW 143RD CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328947",
            "telephone_number": "502-656-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA CORDERO",
        "first_name": "AYMEE",
        "middle_name": "DE LA CARIDAD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-22-230866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.