Active NPI
Edith Pena
- Behavior Technician
- Hallandale Beach, FL
National Provider Identifier
1740081322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-402540
- Practice address
- 118 SE 7TH St
310
Hallandale Beach, FL 33009-3300 - Phone
- (718) 664-0255
- NPI assigned
- Mar 20, 2025
- Last updated
- Apr 30, 2025
- Sex
- Female
- 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 Technician | 106S00000X | RBT-24-402540 | FL | Primary |
Addresses
Primary practice location
118 SE 7TH St
310
Hallandale Beach, FL 33009-3300
Mailing address
118 SE 7TH St
Suite 310
Hallandale Beach, FL 33009
Phone (718) 664-0255
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-24-402540 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1740081322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 SE 7TH ST",
"address_2": "SUITE 310",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "33009",
"telephone_number": "718-664-0255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 SE 7TH ST",
"address_2": "310",
"city": "HALLANDALE BEACH",
"state": "FL",
"postal_code": "330093300",
"telephone_number": "718-664-0255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "EDITH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-20",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-24-402540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hallandale Beach, FL
- Peace of Mind Therapy, Inc.
- Pediatric Hospitalist of South Florida PA
- Sharon Pedrosa, PSYD
- Luana Pedrozo, PT
- Maria Gabriela Peinado
- Susel Ivet Perez Nieves
- Gerardo Perez-Garcia, MSN., RN., FNP-BC
- Alba Lucia Perez, AP,MM, NC, CC
- Jesslyn Perez, APRN, FNP-BC
- Personal Physician Management Group of Hallandale, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.