Individual provider Active NPI

Vanessa Lizbeth Meritil, RBT

  • Behavior Technician
  • Kissimmee, FL
National Provider Identifier
1356006217
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-176856 Issued in FL
Practice address
217 E Oak St
Kissimmee, FL 34744-4503
Phone
(407) 368-9971
NPI assigned
Nov 5, 2021
Last updated
Nov 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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-21-176856 FL Primary

Addresses

Primary practice location

217 E Oak St
Kissimmee, FL 34744-4503

Mailing address

12100 Sterling University LN Unit 2213
Orlando, FL 32826-2411
Phone (407) 486-8416

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-21-176856FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1356006217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 STERLING UNIVERSITY LN UNIT 2213",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328262411",
            "telephone_number": "407-486-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444503",
            "telephone_number": "407-368-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERITIL",
        "first_name": "VANESSA",
        "middle_name": "LIZBETH",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-176856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.