Active NPI
Raphaela Reis
- Behavior Technician
- Margate, FL
National Provider Identifier
1417694647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 5100 W Copans Rd Ste 300
Margate, FL 33063-7700 - Phone
- (954) 226-7423
- NPI assigned
- May 18, 2022
- Last updated
- May 18, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | FL | Primary |
Addresses
Primary practice location
5100 W Copans Rd Ste 300
Margate, FL 33063-7700
Mailing address
2474 NW 49TH Ter
Coconut Creek, FL 33063-3853
Phone (786) 731-6104
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1417694647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2474 NW 49TH TER",
"city": "COCONUT CREEK",
"state": "FL",
"postal_code": "330633853",
"telephone_number": "786-731-6104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 W COPANS RD STE 300",
"city": "MARGATE",
"state": "FL",
"postal_code": "330637700",
"telephone_number": "954-226-7423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIS",
"first_name": "RAPHAELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-18",
"last_updated": "2022-05-18",
"certification_date": "2022-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Margate, FL
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- Dana Leyla Rei Cassab, MD
- Ann Marie Reitano, DO
- Renan Amador MD
- Resilient Bridges Behavioral Health LLC
- Respiratory Resources, Inc
- Restful Meadows Alf LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.