Active NPI
Haleh Amanieh, RBT
- Behavior Technician
- Gainesville, FL
National Provider Identifier
1730534496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-16-18582
- Practice address
- 1015 NW 56TH Ter
Gainesville, FL 32605-4481 - Phone
- (352) 835-5520
- Fax
- (866) 610-0580
- NPI assigned
- May 2, 2016
- Last updated
- Nov 1, 2016
- 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 | RBT-16-18582 | FL | Primary |
Addresses
Primary practice location
1015 NW 56TH Ter
Gainesville, FL 32605-4481
Mailing address
175 Middle Street
Lake Mary, FL 32746
Phone (866) 610-0580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009093700 | Medicaid | FL |
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 |
|---|---|---|---|
| RBT-16-18582 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477958400000",
"number": "1730534496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 MIDDLE STREET",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "32746",
"telephone_number": "866-610-0580",
"fax_number": "866-610-0580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 NW 56TH TER",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054481",
"telephone_number": "352-835-5520",
"fax_number": "866-610-0580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMANIEH",
"first_name": "HALEH",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-02",
"last_updated": "2016-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-16-18582",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009093700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.