Individual provider Active NPI

Fausto Batista

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1386487635
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT20-129776 Issued in FL
Practice address
10300 SW 72ND St Ste 333
Miami, FL 33173-3019
Phone
(305) 279-9255
Fax
(305) 279-9258
NPI assigned
Jun 14, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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 RBT20-129776 FL Primary

Addresses

Primary practice location

10300 SW 72ND St Ste 333
Miami, FL 33173-3019

Mailing address

14108 SW 168TH LN
Miami, FL 33177-2099
Phone (786) 617-0776

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
RBT20-129776FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
M&F Professional Behavioral Disorders Inc CurrentSince Jun 16, 2024 Accepting new patients
Rim Professional Therapy Group Inc CurrentSince Jun 16, 2024 Accepting new patients

Locations

10300 SW 72nd St
Ste 333
Miami, FL 33173
Phone (305) 279-4000

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": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1386487635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14108 SW 168TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772099",
            "telephone_number": "786-617-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST STE 333",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733019",
            "telephone_number": "305-279-9255",
            "fax_number": "305-279-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATISTA",
        "first_name": "FAUSTO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT20-129776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.