Active NPI
Peyton Pearlman
- Behavior Technician
- Orange Park, FL
National Provider Identifier
1487301461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-205989
- Practice address
- 1701 Smith St
Orange Park, FL 32073-4820 - Phone
- (904) 305-2069
- Fax
- (904) 342-1430
- NPI assigned
- Mar 9, 2022
- Sex
- Female
- Sole proprietor
- No
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-22-205989 | Primary |
Addresses
Primary practice location
1701 Smith St
Orange Park, FL 32073-4820
Mailing address
165 Scotland Yard Blvd
Saint Johns, FL 32259-5913
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Behaviors Inc. | Behavior Technician | Current | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1487301461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 SCOTLAND YARD BLVD",
"city": "SAINT JOHNS",
"state": "FL",
"postal_code": "322595913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 SMITH ST",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734820",
"telephone_number": "904-305-2069",
"fax_number": "904-342-1430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARLMAN",
"first_name": "PEYTON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-09",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-22-205989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.