Active NPI
Ivis Lianet Trimino Nodarse, RBT
- Behavior Technician
- Port St Lucie, FL
National Provider Identifier
1346857653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-134851
- Practice address
- 11885 SW Lyra Dr
Port St Lucie, FL 34987-6413 - Phone
- (561) 567-5852
- NPI assigned
- Sep 30, 2020
- Sex
- Female
- Sole proprietor
- No
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-20-134851 | FL | Primary |
Addresses
Primary practice location
11885 SW Lyra Dr
Port St Lucie, FL 34987-6413
Mailing address
11885 SW Lyra Dr
Port St Lucie, FL 34987-6413
Phone (561) 567-5852
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132383200 | Medicaid | FL |
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-20-134851 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1346857653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11885 SW LYRA DR",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349876413",
"telephone_number": "561-567-5852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11885 SW LYRA DR",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349876413",
"telephone_number": "561-567-5852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIMINO NODARSE",
"first_name": "IVIS",
"middle_name": "LIANET",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-30",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-20-134851",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "132383200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
- Treatment Centers of America, LLC (Behavioral Health Centers)
- Treatment Centers of America, LLC (Tcoa 2325)
- Treatment Centers of America, LLC
- Kerri Lynn Trice, PTA
- George G Trim, MD
- Trinity Caring Hands & More LLC
- Paul Anthony Tripp, D.C.
- Aron M Trocchia, MD
- Angela Renea Trodglen, APRN
- Anthony Troitino, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.