Johanna Ivette Pina, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-28059 Issued in FL

Practice address

515 Rafael Blvd NE
Saint Petersburg, FL 33704-3849

Phone

(786) 376-3391

NPI assigned

Oct 18, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Johanna Ivette Santos Rivera Former name

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 and National Provider Directory roles.

• Insightpath Behavioral Solutions, LLC

  • Behavior Analyst
  • St Petersburg, FL
  • NPI 1619866175
  NPD Authorized official
• Children'S Love Corporation

  • Behavior Analyst
  • Ft Lauderdale, FL
  • NPI 1801503123
  NPD (past)

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1619220498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 RAFAEL BLVD NE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337043849",
            "telephone_number": "786-376-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 RAFAEL BLVD NE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337043849",
            "telephone_number": "786-376-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINA",
        "first_name": "JOHANNA",
        "middle_name": "IVETTE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-17-28059",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66582",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-17-28059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANNA",
            "last_name": "SANTOS RIVERA",
            "middle_name": "IVETTE",
            "credential": "MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Harrison Pikos, D.M.D.
• Nadia M Pile, MD
• Liubov Pileva, MD
• Victoria L Pilla, PTA
• Alexa Mae Pilz
• Kimberlee Pinckley, LMT
• Ricardo Antonio Pineda Gayoso, M.D.
• Natsumi Okuda Pineiro, LMHC
• Pinellas County Anesthesia Associates, LLC
• Pinellas County Health Department

• Behavior Analyst in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.