Amanda Maria Real de la Paz

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-136009 Issued in FL

Practice address

1521 Forest Hill Blvd Ste 3B
Lake Clarke Shores, FL 33406-6031

Phone

(561) 506-3665

Fax

(561) 444-2458

NPI assigned

Apr 21, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rainbow of Life Behavioral Health Center, LLC

  • Behavior Analyst
  • Lake Worth, FL
  • NPI 1841837713
  NPD (past)

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1336720291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5246 CANNON WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334154005",
            "telephone_number": "305-560-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 FOREST HILL BLVD STE 3B",
            "city": "LAKE CLARKE SHORES",
            "state": "FL",
            "postal_code": "334066031",
            "telephone_number": "561-506-3665",
            "fax_number": "561-444-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAL DE LA PAZ",
        "first_name": "AMANDA",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-136009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Perez
• Aleyda Peterson
• Daniel Pino Ruiz, APRN
• Yanet Plutin Santos, APRN11033111
• Eric Kid Quick, LPC, LAC, LMHC
• Yadiela Rivero
• Addys Rodriguez Aragon
• Lorena Rodriguez Rodriguez
• Linnette Santos Robles, M. ED., LMHC
• Kristy Senecal

• Behavior Technician in Lake Clarke Shores, FL
• Providers in Lake Clarke Shores, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.