Individual provider Active NPI

Keren Cabrera Acree

  • Behavior Technician
  • Miami Lakes, FL
National Provider Identifier
1407472632
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT20120588 Issued in FL
Practice address
7145 Miami Lakes Dr Apt R13
Miami Lakes, FL 33014-6950
Phone
(305) 590-3835
NPI assigned
Jun 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2021

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 RBT20120588 FL Primary

Addresses

Primary practice location

7145 Miami Lakes Dr Apt R13
Miami Lakes, FL 33014-6950

Mailing address

7145 Miami Lakes Dr Apt R13
Miami Lakes, FL 33014-6950
Phone (305) 590-3835

Other identifiers 1

IdentifierTypeStateIssuer
107305200MedicaidFL

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
RBT20120588FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1407472632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7145 MIAMI LAKES DR APT R13",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146950",
            "telephone_number": "305-590-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7145 MIAMI LAKES DR APT R13",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146950",
            "telephone_number": "305-590-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA ACREE",
        "first_name": "KEREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT20120588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107305200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

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

Verify at the official NPI Registry.