Individual provider Active NPI

Dachel Beatriz Reveron Faife

  • Behavior Technician
  • Tampa, FL
National Provider Identifier
1255105383
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-302017 Issued in FL
Practice address
5051 Memorial Hwy Unit B
Tampa, FL 33634-7355
Phone
(813) 290-0779
Fax
(813) 290-0647
NPI assigned
Nov 9, 2023
Last updated
Aug 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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-23-302017 FL Primary

Addresses

Primary practice location

5051 Memorial Hwy Unit B
Tampa, FL 33634-7355

Mailing address

8840 W Patterson St
Tampa, FL 33615-2304
Phone (813) 860-5472

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-23-302017FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Start Possibility CurrentSince Nov 24, 2024 Accepting new patients

Locations

9600 NW 25th St
Ste 5E
Doral, FL 33172

12750 NW 17th St
Unit 216
Miami, FL 33182
Phone (786) 814-1096

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1255105383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8840 W PATTERSON ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152304",
            "telephone_number": "813-860-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 MEMORIAL HWY UNIT B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347355",
            "telephone_number": "813-290-0779",
            "fax_number": "813-290-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVERON FAIFE",
        "first_name": "DACHEL",
        "middle_name": "BEATRIZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-302017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.