Gretter Beatriz Andreu, BACB983787

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB983787 Issued in FL

Practice address

315 Glenn Pkwy
Hollywood, FL 33021-6323

Phone

(954) 914-1764

NPI assigned

Oct 31, 2023

Last updated

Oct 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1407629561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 GLENN PKWY",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216323",
            "telephone_number": "954-914-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 GLENN PKWY",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216323",
            "telephone_number": "954-914-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREU",
        "first_name": "GRETTER",
        "middle_name": "BEATRIZ",
        "name_prefix": "Mrs.",
        "credential": "BACB983787",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB983787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fausto Andrade Rodriguez, M.D.
• Brian Andrade, RRT
• Denise Andrade, PA
• Gladys Lizzette Andrade, M.D.
• Gladys Andre, LCSW
• Tonie Joanne Andrews
• Jessica Androwski
• Anesco Anesthesia Associates Inc
• Anesthesia Dynamics LLC
• Nadelia Aneyro Alonso, RBT -22-242192

• Behavior Technician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.