Concepcion Pedraza, RBT-21-184137
Individual provider Active NPI Behavior Technician · Goulds, FL
NPI 1407579550 · NPPES record last updated Sep 23, 2022
Key facts
- NPI
- 1407579550
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-21-184137 (FL)
- Practice address
- 11276 SW 232ND St
Goulds, FL 33170-7505 - Phone
- (305) 912-8399
- NPI assigned
- Sep 23, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-184137 | FL | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-21-184137 | FL | Yes |
Addresses
Primary practice location
11276 SW 232ND St
Goulds, FL 33170-7505
Mailing address
14511 SW 297TH St
Homestead, FL 33033-3930
Phone (786) 546-3547
Other providers in Goulds, FL
- Yannira Andrea Ibarra
- Yuryen Linares Rodriguez
- Jennifer Martinez Fabelo
- Ana Lucila Osejo
- Angie Nicole Pardo
- Mariam Perez Navarro
- Dayana Perez Rojas
- Yadira Marie Perez-Lopez
- Jennifer Vannessa Quintanilla
- Mariam Qureshi
All providers in Goulds, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.