Individual provider Active NPI

Maigen Pearlman

  • Behavior Technician
  • Orange Park, FL
National Provider Identifier
1285570465
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-26-519359 Issued in FL
Practice address
1543 Kingsley Ave Ste 6
Orange Park, FL 32073-4583
Phone
(904) 305-2069
NPI assigned
Apr 28, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 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-26-519359 FL Primary

Addresses

Primary practice location

1543 Kingsley Ave Ste 6
Orange Park, FL 32073-4583

Mailing address

1543 Kingsley Ave Ste 6
Orange Park, FL 32073-4583
Phone (904) 305-2069

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-26-519359FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1285570465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 KINGSLEY AVE STE 6",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734583",
            "telephone_number": "904-305-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 KINGSLEY AVE STE 6",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734583",
            "telephone_number": "904-305-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARLMAN",
        "first_name": "MAIGEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-26-519359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

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