Active NPI
Tania Perez
- Behavior Technician
- Homestead, FL
National Provider Identifier
1497360341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT20127792
- Practice address
- 30354 SW 158TH CT
Homestead, FL 33033-3442 - Phone
- (561) 755-2732
- NPI assigned
- Sep 8, 2020
- 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 | RBT20127792 | FL | Primary |
Addresses
Primary practice location
30354 SW 158TH CT
Homestead, FL 33033-3442
Mailing address
30354 SW 158TH CT
Homestead, FL 33033-3442
Phone (561) 755-2732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P620800688040 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Homestead |
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 |
|---|---|---|---|
| RBT20127792 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icare Behavior Services, LLC | Behavior Technician | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1497360341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30354 SW 158TH CT",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330333442",
"telephone_number": "561-755-2732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30354 SW 158TH CT",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330333442",
"telephone_number": "561-755-2732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "TANIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-08",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT20127792",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P620800688040",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Homestead",
"affiliation": "N",
"address_1": "30354 SW 158th Ct",
"city": "Homestead",
"state": "FL",
"country_code": "US",
"postal_code": "330333442",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.