Active NPI
Jose R Prieto
- Behavior Analyst
- Tampa, FL
National Provider Identifier
1730861220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- RBT-23-281812
- Practice address
- 4453 W Humphrey St
Tampa, FL 33614-1428 - Phone
- (813) 703-7771
- NPI assigned
- Aug 3, 2023
- Last updated
- Aug 4, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 Analyst | 103K00000X | RBT-23-281812 | FL | Primary |
Addresses
Primary practice location
4453 W Humphrey St
Tampa, FL 33614-1428
Mailing address
4453 W Humphrey St
Tampa, FL 33614-1428
Phone (813) 703-7771
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-23-281812 | FL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691107200000",
"number": "1730861220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4453 W HUMPHREY ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336141428",
"telephone_number": "813-703-7771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4453 W HUMPHREY ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336141428",
"telephone_number": "813-703-7771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIETO",
"first_name": "JOSE",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-03",
"last_updated": "2023-08-04",
"certification_date": "2023-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "FL",
"license": "RBT-23-281812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.