Individual provider Active NPI

Alberto Larrosa Nogueira

  • Behavior Technician
  • Pembroke Pines, FL
National Provider Identifier
1447015854
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB1022353 Issued in FL
Practice address
701 Promenade Dr Ste 250
Pembroke Pines, FL 33026-6035
Phone
(954) 399-2637
Fax
(954) 272-7110
NPI assigned
Feb 15, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X BACB1022353 FL Primary

Addresses

Primary practice location

701 Promenade Dr Ste 250
Pembroke Pines, FL 33026-6035

Mailing address

3401 SW 9TH Ter Apt 4
Miami, FL 33135-4441
Phone (786) 388-7008

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
BACB1022353FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1447015854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 SW 9TH TER APT 4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354441",
            "telephone_number": "786-388-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PROMENADE DR STE 250",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330266035",
            "telephone_number": "954-399-2637",
            "fax_number": "954-272-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARROSA NOGUEIRA",
        "first_name": "ALBERTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB1022353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.