Active NPI
Evelyn Ibarra
- Behavior Technician
- Pembroke Pines, FL
National Provider Identifier
1609716729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 11612 SW 13TH LN
Pembroke Pines, FL 33025-4824 - Phone
- (561) 558-4605
- NPI assigned
- Mar 30, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | FL | Primary |
Addresses
Primary practice location
11612 SW 13TH LN
Pembroke Pines, FL 33025-4824
Mailing address
20233 SW 52ND PL
Fort Lauderdale, FL 33332-1521
Phone (305) 399-1457
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylight Behavioral Health LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775001600000",
"number": "1609716729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20233 SW 52ND PL",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333321521",
"telephone_number": "305-399-1457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11612 SW 13TH LN",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330254824",
"telephone_number": "561-558-4605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBARRA",
"first_name": "EVELYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-30",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.