Individual provider Active NPI

Maremy Betancourt McDonald

  • Behavior Technician
  • Largo, FL
National Provider Identifier
1407614977
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-321546 Issued in FL
Practice address
7441 114TH Ave Ste 604
Largo, FL 33773-5124
Phone
(727) 492-5369
Fax
(727) 544-5900
NPI assigned
Mar 11, 2024
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 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-24-321546 FL Primary

Addresses

Primary practice location

7441 114TH Ave Ste 604
Largo, FL 33773-5124

Mailing address

7317 46TH Ave N Apt 3
Saint Petersburg, FL 33709-2560
Phone (727) 333-0004

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-24-321546FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1407614977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7317 46TH AVE N APT 3",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337092560",
            "telephone_number": "727-333-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7441 114TH AVE STE 604",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337735124",
            "telephone_number": "727-492-5369",
            "fax_number": "727-544-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT MCDONALD",
        "first_name": "MAREMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-321546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.