Individual provider Active NPI

Daniele Prazeres Alves Jorge

  • Behavior Technician
  • Deerfield Beach, FL
National Provider Identifier
1538875281
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT232531087 Issued in FL
Practice address
1083 SW 42ND Way
Deerfield Beach, FL 33442-8245
Phone
(954) 487-7338
NPI assigned
Jan 26, 2023
Last updated
Feb 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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 RBT232531087 FL Primary

Addresses

Primary practice location

1083 SW 42ND Way
Deerfield Beach, FL 33442-8245

Mailing address

1083 SW 42ND Way
Deerfield Beach, FL 33442-8245
Phone (954) 487-7338

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

LicenseStateTypeSpecialty
RBT232531087FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1538875281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 SW 42ND WAY",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334428245",
            "telephone_number": "954-487-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 SW 42ND WAY",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334428245",
            "telephone_number": "954-487-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAZERES ALVES JORGE",
        "first_name": "DANIELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT232531087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.