Active NPI
Tereza-Marie Avila, RBT
- Behavior Technician
- Tampa, FL
National Provider Identifier
1679166292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- B772058894916
- Practice address
- 8001 Beaty Grove Dr
Tampa, FL 33626-1602 - Phone
- (213) 222-5599
- NPI assigned
- Feb 15, 2021
- 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 | B772058894916 | MN | Primary |
Addresses
Primary practice location
8001 Beaty Grove Dr
Tampa, FL 33626-1602
Mailing address
3445 Delaney Dr Apt 110
Melbourne, FL 32934-7561
Phone (213) 222-5599
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 |
|---|---|---|---|
| B772058894916 | MN | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1679166292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3445 DELANEY DR APT 110",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329347561",
"telephone_number": "213-222-5599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8001 BEATY GROVE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336261602",
"telephone_number": "213-222-5599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILA",
"first_name": "TEREZA-MARIE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-15",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MN",
"license": "B772058894916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.