Active NPI
Janet C Padron, RBT
- Behavior Technician
- Pembroke Pines, FL
National Provider Identifier
1487311833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB696350
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-21-183978 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| BACB696350 | FL | MD | Behavior 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.