Active NPI
Bianca Beauvais
- Behavior Technician
- Homestead, FL
National Provider Identifier
1568081560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 20-113590
- Practice address
- 2615 Fairways Dr
Homestead, FL 33035-1173 - Phone
- (786) 613-3923
- NPI assigned
- Apr 10, 2020
- 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 | 20-113590 | FL | Primary |
Addresses
Primary practice location
2615 Fairways Dr
Homestead, FL 33035-1173
Mailing address
35 NE 168TH St
North Miami Beach, FL 33162-3409
Phone (786) 613-3923
Other practice location 1
16201 NE 13th Ave
North Miami Beach, FL 33162-4607
Phone (305) 924-4747
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 |
|---|---|---|---|
| 20-113590 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1568081560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 NE 168TH ST",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331623409",
"telephone_number": "786-613-3923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 FAIRWAYS DR",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330351173",
"telephone_number": "786-613-3923"
}
],
"practiceLocations": [
{
"address_1": "16201 NE 13th Ave",
"address_purpose": "LOCATION",
"city": "North Miami Beach",
"state": "FL",
"postal_code": "331624607",
"country_code": "US",
"telephone_number": "305-924-4747",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEAUVAIS",
"first_name": "BIANCA",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-10",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "20-113590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.