Active NPI
Beatriz Elena Penagos Palacios
- Behavior Technician
- Virginia Beach, VA
National Provider Identifier
1376133553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-143075
- Practice address
- 780 Lynnhaven Pkwy Ste 410
Virginia Beach, VA 23452-7332 - Phone
- (757) 689-3134
- NPI assigned
- Jan 21, 2021
- 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-20-143075 | VA | Primary |
Addresses
Primary practice location
780 Lynnhaven Pkwy Ste 410
Virginia Beach, VA 23452-7332
Mailing address
468 Peregrine St
Virginia Beach, VA 23462-1858
Phone (305) 824-7049
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-20-143075 | VA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1376133553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "468 PEREGRINE ST",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621858",
"telephone_number": "305-824-7049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 LYNNHAVEN PKWY STE 410",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527332",
"telephone_number": "757-689-3134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENAGOS PALACIOS",
"first_name": "BEATRIZ",
"middle_name": "ELENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-21",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": "RBT-20-143075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.