Brian Manuel Acevedo
Individual provider Active NPI Behavior Technician · Miami, FL
NPI 1306722129 · NPPES record last updated Aug 15, 2025
Key facts
- NPI
- 1306722129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-25-462400 (FL)
- Practice address
- 455 NW 114TH Ave Apt 207
Miami, FL 33172-4169 - Phone
- (786) 620-8151
- NPI assigned
- Aug 15, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-25-462400 | FL | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-25-462400 | FL | Yes |
Addresses
Primary practice location
455 NW 114TH Ave Apt 207
Miami, FL 33172-4169
Mailing address
777 NW 72ND Ave Ste 1083
Miami, FL 33126-3176
Phone (786) 490-6307
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.