Active NPI
Kristy Chadwick, RBT
- Behavior Technician
- Longwood, FL
National Provider Identifier
1669120002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-199044
- Practice address
- 1939 Boothe Cir
Longwood, FL 32750-6774 - Phone
- (407) 218-4340
- Fax
- (407) 218-4340
- NPI assigned
- Mar 15, 2022
- Last updated
- Mar 15, 2022
- Sex
- Female
- Sole proprietor
- No
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 | RBT-22-199044 | FL | Primary |
Addresses
Primary practice location
1939 Boothe Cir
Longwood, FL 32750-6774
Mailing address
PO Box 531125
Orlando, FL 32853-1125
Phone (407) 218-4340
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-199044 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Concepts Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647302400000",
"number": "1669120002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 531125",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328531125",
"telephone_number": "407-218-4340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1939 BOOTHE CIR",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327506774",
"telephone_number": "407-218-4340",
"fax_number": "407-218-4340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHADWICK",
"first_name": "KRISTY",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-15",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-22-199044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longwood, FL
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- CG2 Holdings, Inc. (ComForCare Home Care-Greater Orlando)
- Abdelhamid I Chakir
- Melanie Lynette Chalmers
- Chamen Home Care, LLC
- Charles L Batson PA Family
- Charles L Batson PA-Family
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.