Active NPI
Carmen Yaneth Chantre
- Behavior Technician
- Lake Worth, FL
National Provider Identifier
1730894908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-147690
- Practice address
- 4576 Emerald Vis Apt K364
Lake Worth, FL 33461-7241 - Phone
- (786) 299-9285
- NPI assigned
- Jan 20, 2023
- 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-20-147690 | FL | Primary |
Addresses
Primary practice location
4576 Emerald Vis Apt K364
Lake Worth, FL 33461-7241
Mailing address
4576 Emerald Vis Apt K364
Lake Worth, FL 33461-7241
Phone (786) 299-9285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108994800 | 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-20-147690 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1730894908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4576 EMERALD VIS APT K364",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334617241",
"telephone_number": "786-299-9285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4576 EMERALD VIS APT K364",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334617241",
"telephone_number": "786-299-9285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANTRE",
"first_name": "CARMEN",
"middle_name": "YANETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-20",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-20-147690",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108994800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.