Individual provider Active NPI

Anisleidy Pinero Izquierdo

  • Behavior Technician
  • Cutler Bay, FL
National Provider Identifier
1417789389
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-328680 Issued in FL
Practice address
10360 SW 216TH St Apt 203
Cutler Bay, FL 33190-1701
Phone
(786) 732-5847
NPI assigned
Aug 19, 2024
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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-24-328680 FL Primary

Addresses

Primary practice location

10360 SW 216TH St Apt 203
Cutler Bay, FL 33190-1701

Mailing address

10360 SW 216TH St Apt 203
Cutler Bay, FL 33190-1701

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-24-328680FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Therapy Services Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1417789389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10360 SW 216TH ST APT 203",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10360 SW 216TH ST APT 203",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901701",
            "telephone_number": "786-732-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINERO IZQUIERDO",
        "first_name": "ANISLEIDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-328680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.