Individual provider Active NPI

Ivetty Milagros Cabrera Rosa Sr.

  • Behavior Analyst
  • West Palm Beach, FL
National Provider Identifier
1689488686
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
RBT-25-408279 Issued in FL
Practice address
4666 Purdy LN
West Palm Beach, FL 33415-7452
Phone
(561) 993-0606
NPI assigned
Feb 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X RBT-25-408279 FL Primary

Addresses

Primary practice location

4666 Purdy LN
West Palm Beach, FL 33415-7452

Mailing address

4666 Purdy LN
West Palm Beach, FL 33415-7452
Phone (561) 993-0606

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-25-408279FLMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1689488686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4666 PURDY LN",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334157452",
            "telephone_number": "561-993-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4666 PURDY LN",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334157452",
            "telephone_number": "561-993-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA ROSA",
        "first_name": "IVETTY",
        "middle_name": "MILAGROS",
        "name_prefix": "Ms.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "RBT-25-408279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.