Sandra Brito Vazquez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-118009 Issued in FL

Practice address

1521 Forest Hill Blvd Ste 3B
Lake Clarke Shores, FL 33406-6031

Phone

(561) 506-3665

Fax

(561) 444-2458

NPI assigned

May 14, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rainbow of Life Behavioral Health Center, LLC

  • Behavior Analyst
  • Lake Worth, FL
  • NPI 1841837713
  NPD (past)

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1528680386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4169 SELBERG LN",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614355",
            "telephone_number": "561-603-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 FOREST HILL BLVD STE 3B",
            "city": "LAKE CLARKE SHORES",
            "state": "FL",
            "postal_code": "334066031",
            "telephone_number": "561-506-3665",
            "fax_number": "561-444-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITO VAZQUEZ",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-14",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-118009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Caridad Alarcon
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• Yida M Bello, MA 54498
• Glorymar Birkeland, MS
• Donisha Brown
• Stephanie L Brown
• Alexandra Cabrera Echevarria
• Jacobo Ezequiel Castillo
• Camryn Colavecchio

• Behavior Technician in Lake Clarke Shores, FL
• Providers in Lake Clarke Shores, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.