Individual provider Active NPI

Cameron Z Theobalds

  • Behavior Technician
  • Homestead, FL
National Provider Identifier
1477422343
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-486298 Issued in FL
Practice address
12081 SW 251St Ter
Homestead, FL 33032-5987
Phone
(305) 748-9354
NPI assigned
Oct 30, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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-25-486298 FL Primary

Addresses

Primary practice location

12081 SW 251St Ter
Homestead, FL 33032-5987

Mailing address

12081 SW 251St Ter
Homestead, FL 33032-5987

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-25-486298FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1477422343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12081 SW 251ST TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330325987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12081 SW 251ST TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330325987",
            "telephone_number": "305-748-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEOBALDS",
        "first_name": "CAMERON",
        "middle_name": "Z",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-25-486298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.