Individual provider Active NPI

Aretta L Oaks

  • Behavior Technician
  • Leesburg, FL
National Provider Identifier
1285238386
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-104774 Issued in FL
Practice address
1650 W Main St Ste 1
Leesburg, FL 34748-2842
Phone
(352) 314-3760
Fax
(352) 314-2909
NPI assigned
Nov 30, 2020
Last updated
Nov 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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-19-104774 FL Primary

Addresses

Primary practice location

1650 W Main St Ste 1
Leesburg, FL 34748-2842

Mailing address

33526 Tarlton Dr
Leesburg, FL 34788-3552
Phone (352) 308-4022

Other identifiers 1

IdentifierTypeStateIssuer
105053000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aretta@betterlifeofcentralfl.com Direct

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-19-104774FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1285238386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33526 TARLTON DR",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883552",
            "telephone_number": "352-308-4022",
            "fax_number": "352-314-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W MAIN ST STE 1",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347482842",
            "telephone_number": "352-314-3760",
            "fax_number": "352-314-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAKS",
        "first_name": "ARETTA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-104774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105053000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aretta@betterlifeofcentralfl.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1650 W Main St Ste 1",
            "city": "Leesburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347482842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.