Active NPI
Carlos Ernesto Falcon
- Behavior Technician
- Greenacres, FL
National Provider Identifier
1477221083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-21-179392
- Practice address
- 6415 Lake Worth Rd Ste 204
Greenacres, FL 33463-2904 - Phone
- (561) 771-9561
- Fax
- (800) 766-3139
- NPI assigned
- Aug 31, 2021
- Last updated
- Jul 19, 2023
- Sex
- Male
- 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 | RBT-21-179392 | FL | Primary |
Addresses
Primary practice location
6415 Lake Worth Rd Ste 204
Greenacres, FL 33463-2904
Mailing address
5127 Cannon Way
West Palm Beach, FL 33415-3744
Phone (561) 312-4988
Other practice location 1
1521 Forest Hill Blvd Ste 3B
Lake Clarke Shores, FL 33406-6031
Phone (561) 506-3665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112273600 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-179392 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainbow of Life Behavioral Health Center, LLC | 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.
-
- Behavior Analyst
- Lake Worth, FL
- NPI 1841837713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689724800000",
"number": "1477221083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5127 CANNON WAY",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334153744",
"telephone_number": "561-312-4988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6415 LAKE WORTH RD STE 204",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334632904",
"telephone_number": "561-771-9561",
"fax_number": "800-766-3139"
}
],
"practiceLocations": [
{
"address_1": "1521 Forest Hill Blvd Ste 3B",
"address_purpose": "LOCATION",
"city": "Lake Clarke Shores",
"state": "FL",
"postal_code": "334066031",
"country_code": "US",
"telephone_number": "561-506-3665",
"fax_number": "561-444-2458",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FALCON",
"first_name": "CARLOS",
"middle_name": "ERNESTO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-31",
"last_updated": "2023-07-19",
"certification_date": "2023-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-21-179392",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112273600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenacres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.