Individual provider Active NPI

Addely Alfonso Quesada

  • Behavior Technician
  • Pembroke Pines, FL
National Provider Identifier
1326938416
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-447866 Issued in FL
Practice address
11020 NW 15TH CT
Pembroke Pines, FL 33026-2726
Phone
(786) 762-7908
NPI assigned
Jul 8, 2025
Last updated
Jul 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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-25-447866 FL Primary

Addresses

Primary practice location

11020 NW 15TH CT
Pembroke Pines, FL 33026-2726

Mailing address

777 NW 72ND Ave Ste 1083
Miami, FL 33126-3176
Phone (786) 490-6307

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-25-447866FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1326938416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 NW 72ND AVE STE 1083",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263176",
            "telephone_number": "786-490-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 NW 15TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330262726",
            "telephone_number": "786-762-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFONSO QUESADA",
        "first_name": "ADDELY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-25-447866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.