Individual provider Active NPI

Rebe Nicole Arrieta, RBT

  • Behavior Technician
  • Defuniak Springs, FL
National Provider Identifier
1316482706
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-16-21092 Issued in FL
Practice address
171 State Highway 83 Unit A101
Defuniak Springs, FL 32433-7427
Phone
(850) 585-9189
Fax
(850) 951-0898
NPI assigned
Dec 21, 2016
Last updated
Dec 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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-16-21092 FL Primary

Addresses

Primary practice location

171 State Highway 83 Unit A101
Defuniak Springs, FL 32433-7427

Mailing address

4779 Balboa Rd
Crestview, FL 32539-6349
Phone (847) 912-9708

Other names 1

  • Miss Rebe Nicole Davis Former name

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-16-21092FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Gains Behavioral Solutions LLC Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1316482706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4779 BALBOA RD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325396349",
            "telephone_number": "847-912-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 STATE HIGHWAY 83 UNIT A101",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324337427",
            "telephone_number": "850-585-9189",
            "fax_number": "850-951-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARRIETA",
        "first_name": "REBE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-16-21092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBE",
            "last_name": "DAVIS",
            "middle_name": "NICOLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Defuniak Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.