Individual provider Active NPI

Karime Bourzac, MS ESE. RBT

  • Behavior Technician
  • North Bay Village, FL
National Provider Identifier
1356974315
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-18-70516 Issued in FL
Practice address
1820 S Treasure Dr Apt 206a
North Bay Village, FL 33141-4338
Phone
(305) 321-4474
NPI assigned
Feb 18, 2020
Last updated
Feb 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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-18-70516 FL Primary

Addresses

Primary practice location

1820 S Treasure Dr Apt 206a
North Bay Village, FL 33141-4338

Mailing address

1820 S Treasure Dr Apt 206a
North Bay Village, FL 33141-4338
Phone (305) 321-4474

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
RBT-18-70516FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1356974315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 S TREASURE DR APT 206A",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414338",
            "telephone_number": "305-321-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 S TREASURE DR APT 206A",
            "city": "NORTH BAY VILLAGE",
            "state": "FL",
            "postal_code": "331414338",
            "telephone_number": "305-321-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURZAC",
        "first_name": "KARIME",
        "credential": "MS ESE. RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-70516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bay Village, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.