Individual provider Active NPI

Zachary John Peterson, RBT

  • Behavior Technician
  • Delray Beach, FL
National Provider Identifier
1710735519
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-345749 Issued in FL
Practice address
1300 NW 17TH Ave Ste 272
Delray Beach, FL 33445-2562
Phone
(561) 865-7064
NPI assigned
May 8, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-345749 FL Primary

Addresses

Primary practice location

1300 NW 17TH Ave Ste 272
Delray Beach, FL 33445-2562

Mailing address

4789 S Citation Dr Apt 101
Delray Beach, FL 33445-6534
Phone (858) 869-3406

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-24-345749FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Three Dots LLC CurrentSince May 12, 2024 Accepting new patients
Felicity Services Group, LLC Current Accepting new patients

Locations

1300 NW 17th Ave
Ste 272
Delray Beach, FL 33445
Phone (305) 479-7262

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1710735519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4789 S CITATION DR APT 101",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456534",
            "telephone_number": "858-869-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NW 17TH AVE STE 272",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334452562",
            "telephone_number": "561-865-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ZACHARY",
        "middle_name": "JOHN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-345749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.