Active NPI
Wendy Moreno, BEHAVIOR TECHNICIAN
- Behavior Technician
- Cape Coral, FL
National Provider Identifier
1316423221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-386452
- Practice address
- 1430 NW 1St Ter
Cape Coral, FL 33993-7724 - Phone
- (786) 371-5163
- NPI assigned
- Jul 13, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-386452 | FL | Primary |
Addresses
Primary practice location
1430 NW 1St Ter
Cape Coral, FL 33993-7724
Mailing address
1430 NW 1St Ter
Cape Coral, FL 33993-7724
Phone (786) 371-5163
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-386452 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity Hope Home Health Inc | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Home Health Agency
- Cutler Bay, FL
- NPI 1497255905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1316423221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 NW 1ST TER",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339937724",
"telephone_number": "786-371-5163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 NW 1ST TER",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339937724",
"telephone_number": "786-371-5163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO",
"first_name": "WENDY",
"credential": "BEHAVIOR TECHNICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-13",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-24-386452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.