Individual provider Active NPI

Janet C Padron, RBT

  • Behavior Technician
  • Pembroke Pines, FL
National Provider Identifier
1487311833
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB696350 Issued in FL
Practice address
9551 NW 10TH St
Pembroke Pines, FL 33024-4405
Phone
(786) 344-1361
NPI assigned
Nov 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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 BACB696350 FL Primary

Addresses

Primary practice location

9551 NW 10TH St
Pembroke Pines, FL 33024-4405

Mailing address

9551 NW 10TH St
Pembroke Pines, FL 33024-4405
Phone (786) 344-1361

Other identifiers 1

IdentifierTypeStateIssuer
RBT-21-183978MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kidsspot.behavioralanalysisonline.com./account/login Health Information Exchange (HIE) EXCELLENCE BEHAVIORAL SERVICES CORP

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
BACB696350FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1487311833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9551 NW 10TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330244405",
            "telephone_number": "786-344-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9551 NW 10TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330244405",
            "telephone_number": "786-344-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADRON",
        "first_name": "JANET",
        "middle_name": "C",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB696350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RBT-21-183978",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kidsspot.behavioralanalysisonline.com./account/login",
            "affiliation": "Y",
            "endpointDescription": "website for data collection and client information",
            "affiliationName": "EXCELLENCE BEHAVIORAL SERVICES CORP",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1003 SW 27th Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331354614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 27, 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.

Verify at the official NPI Registry.