Individual provider Active NPI

Heriberto Delgado Reyes, RBT

  • Behavior Technician
  • Miami Gardens, FL
National Provider Identifier
1629612809
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
18-70075 Issued in FL
Practice address
4610 NW 199TH St
Miami Gardens, FL 33055-1509
Phone
(786) 442-0297
NPI assigned
Oct 31, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 18-70075 FL Primary

Addresses

Primary practice location

4610 NW 199TH St
Miami Gardens, FL 33055-1509

Mailing address

4610 NW 199TH St
Miami Gardens, FL 33055-1509
Phone (786) 442-0297

Other practice location 1

4610 NW 199th St
Miami Gardens, FL 33055-1509
Phone (786) 442-0297

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

LicenseStateTypeSpecialty
18-70075FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1629612809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 NW 199TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330551509",
            "telephone_number": "786-442-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 NW 199TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330551509",
            "telephone_number": "786-442-0297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4610 NW 199th St",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "330551509",
            "country_code": "US",
            "telephone_number": "786-442-0297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELGADO REYES",
        "first_name": "HERIBERTO",
        "name_prefix": "Mr.",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-31",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "18-70075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.