Individual provider Active NPI

Rebecca Carrillo Cabezas

  • Behavior Technician
  • Stuart, FL
National Provider Identifier
1649029620
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-355878 Issued in FL
Practice address
7108 South Kanner Hwy
Stuart FL 34997-7462
Stuart, FL 34997
Phone
(855) 832-6727
Fax
(722) 675-9100
NPI assigned
May 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Technician 106S00000X RBT-24-355878 FL Primary

Addresses

Primary practice location

7108 South Kanner Hwy
Stuart FL 34997-7462
Stuart, FL 34997

Mailing address

4625 Saint Croix LN Apt 1126
Naples, FL 34109-3535
Phone (239) 919-2869

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
RBT-24-355878FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1649029620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 SAINT CROIX LN APT 1126",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093535",
            "telephone_number": "239-919-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7108 SOUTH KANNER HWY",
            "address_2": "STUART FL 34997-7462",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34997",
            "telephone_number": "855-832-6727",
            "fax_number": "722-675-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO CABEZAS",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-355878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.