Individual provider Active NPI

Aliam Camacho Rodriguez, RBT

  • Behavior Technician
  • Hialeah, FL
National Provider Identifier
1710426119
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-85914 Issued in FL
Practice address
8009 W 6TH Ave
N
Hialeah, FL 33014-4105
Phone
(786) 294-1916
NPI assigned
Feb 17, 2017
Last updated
Sep 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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 NU
Behavior Technician 106S00000X RBT-19-85914 FL Primary

Addresses

Primary practice location

8009 W 6TH Ave
N
Hialeah, FL 33014-4105

Mailing address

8009 W 6TH Ave
N
Hialeah, FL 33014-4105
Phone (786) 294-1916

Other identifiers 1

IdentifierTypeStateIssuer
102926000MedicaidFL

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-19-85914FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1710426119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8009 W 6TH AVE",
            "address_2": "N",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144105",
            "telephone_number": "786-294-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8009 W 6TH AVE",
            "address_2": "N",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144105",
            "telephone_number": "786-294-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMACHO RODRIGUEZ",
        "first_name": "ALIAM",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-17",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-85914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102926000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.