Individual provider Active NPI

Damian Perez Santos

  • Behavior Technician
  • Hollywood, FL
National Provider Identifier
1376434803
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-452910 Issued in FL
Practice address
6729 Simms St
Hollywood, FL 33024-2835
Phone
(954) 310-4621
NPI assigned
Jul 12, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

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-25-452910 FL Primary

Addresses

Primary practice location

6729 Simms St
Hollywood, FL 33024-2835

Mailing address

6729 Simms St
Hollywood, FL 33024-2835
Phone (954) 310-4621

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-25-452910FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Child R US ABA Services Inc Current Accepting new patients
Aventra Behavioral Services LLC Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1376434803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6729 SIMMS ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242835",
            "telephone_number": "954-310-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6729 SIMMS ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242835",
            "telephone_number": "954-310-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ SANTOS",
        "first_name": "DAMIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-12",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-25-452910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2025; 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.