Keylie Vargas, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-245782 Issued in FL

Practice address

11011 Sheridan St Ste 210
Hollywood, FL 33026-1531

Phone

(954) 552-6668

Fax

(954) 206-5584

NPI assigned

Feb 22, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sprout Behavioral Services, Inc.

  • Behavior Analyst
  • Oakland Park, FL
  • NPI 1649727090
  NPD (past)

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1699473207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4932 NW 188TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552432",
            "telephone_number": "407-953-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 SHERIDAN ST STE 210",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330261531",
            "telephone_number": "954-552-6668",
            "fax_number": "954-206-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "KEYLIE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-22-245782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-18-69094",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne Vanvalkenburgh, M.D.
• Yolaisy Vargas Diaz
• Alvaro Felipe Vargas Pelaez
• Alianny Vargas Vazquez
• Jorge M Vargas, DMD
• Variety Children'S Hospital
• Merin Varughese
• Natalia Vasquez, RRT
• Renee Vassell
• Estera Elizabeth Vatamaniuc, FNP-BC

• Behavior Technician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.