Kristi Susann Pace, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB602213 Issued in FL

Practice address

4647 Clyde Morris Blvd Unit 501
Port Orange, FL 32129-3001

Phone

(386) 767-3752

Fax

(386) 767-4319

NPI assigned

Sep 16, 2020

Last updated

Sep 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Strategies, Inc. Behavior Analysis & Therapeutic Services

  • Behavior Analyst
  • New Smyrna Beach, FL
  • NPI 1861638827

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1588270532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4279 PONDAPPLE DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327961464",
            "telephone_number": "321-317-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 CLYDE MORRIS BLVD UNIT 501",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321293001",
            "telephone_number": "386-767-3752",
            "fax_number": "386-767-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "KRISTI",
        "middle_name": "SUSANN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB602213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ottaviani Chiropractic Center LLC
• Andrew Ottaviani, D.C.
• Amanda Owen
• Angela M Owens, PT
• Chad Owens, PTA
• Lisa Packard
• Andrea Soledad Pagan
• Elyssa Naomi Pagan, DC
• Jared R Pagan, RBT
• Heber Paiva, DMD

• Behavior Technician in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.