Active NPI
Keisha M Betancourt Felices
- Behavior Technician
- Kissimmee, FL
National Provider Identifier
1497585590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-366774
- Practice address
- 102 Park Place Blvd Ste C1
Kissimmee, FL 34741-2358 - Phone
- (407) 385-0728
- NPI assigned
- Aug 5, 2024
- 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-24-366774 | FL | Primary |
Addresses
Primary practice location
102 Park Place Blvd Ste C1
Kissimmee, FL 34741-2358
Mailing address
2301 5TH St
Saint Cloud, FL 34769-2665
Phone (321) 337-5105
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | securerecords.sandford.html | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| RBT-24-366774 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Ba Therapy Center Inc. | Past | Accepting new patients | |
| My Ba Therapy Center Inc. | Past | Accepting new patients | |
| My Ba Therapy Center Inc. | Past | Accepting new patients | |
| Blueheart Behavioral Services for Kids LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Behavior Analyst
- Saint Cloud, FL
- NPI 1104494327
-
- Behavior Analyst
- Kissimmee, FL
- NPI 1326588781
-
- Behavior Analyst
- Kissimmee, FL
- NPI 1952066888
-
- Behavior Analyst
- Kissimmee, FL
- NPI 1962167890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1497585590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 5TH ST",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347692665",
"telephone_number": "321-337-5105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 PARK PLACE BLVD STE C1",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347412358",
"telephone_number": "407-385-0728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETANCOURT FELICES",
"first_name": "KEISHA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-05",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-24-366774",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "securerecords.sandford.html",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2301 5th St",
"city": "Saint Cloud",
"state": "FL",
"country_code": "US",
"postal_code": "347692665",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.