Active NPI
Rolando Humberto Betancourt Feria
- Behavior Technician
- Lakeland, FL
National Provider Identifier
1265040679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 10838 Woodbrook Cir
Lakeland, FL 33809-1170 - Phone
- (813) 522-9625
- NPI assigned
- Jul 21, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | FL | Primary | |
| Home Health Aide | 374U00000X | FL | ||
| In Home Supportive Care Agency | 253Z00000X | FL |
Addresses
Primary practice location
10838 Woodbrook Cir
Lakeland, FL 33809-1170
Mailing address
10838 Woodbrook Cir
Lakeland, FL 33809-1170
Phone (813) 522-9625
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Behavior LLC | In Home Supportive Care | Current | Accepting new patients |
| Li & R Behavioral, LLC | In Home Supportive Care | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- In Home Supportive Care Agency
- Lakeland, FL
- NPI 1376204206
In Home Supportive Care
-
- Early Intervention Provider Agency
- Sanford, FL
- NPI 1144995861
In Home Supportive Care
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1265040679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10838 WOODBROOK CIR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338091170",
"telephone_number": "813-522-9625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10838 WOODBROOK CIR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338091170",
"telephone_number": "813-522-9625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETANCOURT FERIA",
"first_name": "ROLANDO",
"middle_name": "HUMBERTO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-21",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": null,
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "FL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.