Individual provider Active NPI

Lorena Rosa

  • Behavior Technician
  • Miami Lakes, FL
National Provider Identifier
1548039175
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
23-292348 Issued in FL
Practice address
7201 Miami Lakes Dr Apt B16
Miami Lakes, FL 33014-6954
Phone
(786) 499-9479
NPI assigned
Dec 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 23292348 FL
Behavior Technician 106S00000X 23-292348 FL Primary

Addresses

Primary practice location

7201 Miami Lakes Dr Apt B16
Miami Lakes, FL 33014-6954

Mailing address

7201 Miami Lakes Dr Apt B16
Miami Lakes, FL 33014-6954
Phone (786) 499-9479

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
23-292348FLMDBehavior Technician
23292348FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1548039175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 MIAMI LAKES DR APT B16",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146954",
            "telephone_number": "786-499-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 MIAMI LAKES DR APT B16",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146954",
            "telephone_number": "786-499-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "LORENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-22",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "23292348",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "23-292348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.