Individual provider Active NPI

Dariena Ortega Penalva

  • Behavior Technician
  • Homestead, FL
National Provider Identifier
1386384642
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
123 N Krome Ave Ste 104
Homestead, FL 33030-6005
Phone
(786) 349-4559
NPI assigned
Apr 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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 Primary

Addresses

Primary practice location

123 N Krome Ave Ste 104
Homestead, FL 33030-6005

Mailing address

123 N Krome Ave Ste 104
Homestead, FL 33030-6005

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@aleatbs.com

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

NPI Registry JSON

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1386384642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N KROME AVE STE 104",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N KROME AVE STE 104",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306005",
            "telephone_number": "786-349-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA PENALVA",
        "first_name": "DARIENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@aleatbs.com",
            "affiliation": "N",
            "address_1": "123 N Krome Ave Ste 104",
            "city": "Homestead",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330306005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.