Individual provider Active NPI

Kirsis Mercedes Liriano Santos, RBT

  • Behavior Technician
  • Orlando, FL
National Provider Identifier
1346775012
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-17-30969 Issued in FL
Practice address
14734 Royal Poinciana Dr
Orlando, FL 32828-7329
Phone
(407) 401-2751
NPI assigned
May 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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-17-30969 FL Primary

Addresses

Primary practice location

14734 Royal Poinciana Dr
Orlando, FL 32828-7329

Mailing address

14734 Royal Poinciana Dr
Orlando, FL 32828-7329
Phone (407) 401-2751

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-17-30969FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1346775012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14734 ROYAL POINCIANA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287329",
            "telephone_number": "407-401-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14734 ROYAL POINCIANA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287329",
            "telephone_number": "407-401-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIRIANO SANTOS",
        "first_name": "KIRSIS",
        "middle_name": "MERCEDES",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-17-30969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.