Individual provider Active NPI

Annelis Fernandez Pedroso

  • Behavior Technician
  • West Palm Beach, FL
National Provider Identifier
1528904554
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
616 Clearwater Park Rd Apt 1113
West Palm Beach, FL 33401-6250
Phone
(561) 719-6454
NPI assigned
Apr 23, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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 Primary

Addresses

Primary practice location

616 Clearwater Park Rd Apt 1113
West Palm Beach, FL 33401-6250

Mailing address

616 Clearwater Park Rd Apt 1113
West Palm Beach, FL 33401-6250
Phone (561) 719-6454

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

NPI Registry JSON

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

{
    "created_epoch": "1776902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1528904554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 CLEARWATER PARK RD APT 1113",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016250",
            "telephone_number": "561-719-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 CLEARWATER PARK RD APT 1113",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016250",
            "telephone_number": "561-719-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ PEDROSO",
        "first_name": "ANNELIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-23",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.