Active NPI
Rocio Esmeralda Fernandez Mora
- Behavior Technician
- Pembroke Pines, FL
National Provider Identifier
1558093971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-215665
- Practice address
- 701 Promenade Dr Ste 250
Pembroke Pines, FL 33026-6035 - Phone
- (954) 399-2637
- NPI assigned
- Jun 24, 2022
- 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-22-215665 | FL | Primary |
Addresses
Primary practice location
701 Promenade Dr Ste 250
Pembroke Pines, FL 33026-6035
Mailing address
20040 NW 3Rd CT
Miami Gardens, FL 33169-2916
Phone (786) 378-2640
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Kelin@equanimitytherapy.com |
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-22-215665 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1558093971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20040 NW 3RD CT",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331692916",
"telephone_number": "786-378-2640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 PROMENADE DR STE 250",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330266035",
"telephone_number": "954-399-2637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ MORA",
"first_name": "ROCIO",
"middle_name": "ESMERALDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-24",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-22-215665",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Kelin@equanimitytherapy.com",
"affiliation": "N",
"address_1": "701 Promenade Dr Ste 250",
"city": "Pembroke Pines",
"state": "FL",
"country_code": "US",
"postal_code": "330266035",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.