Kiareth Negron Cordero

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-21-185228 Issued in FL

Practice address

4862 Rockvale Dr
Kissimmee, FL 34758-3368

Phone

(407) 308-5240

NPI assigned

Oct 31, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Learning Zone Academy LLC

  • Behavior Analyst
  • Kissimmee, FL
  • NPI 1932720695
  NPD (past)

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

{
    "created_epoch": "1635638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635638400000",
    "number": "1760146294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4862 ROCKVALE DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347583368",
            "telephone_number": "407-308-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4862 ROCKVALE DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347583368",
            "telephone_number": "407-308-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRON CORDERO",
        "first_name": "KIARETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-31",
        "last_updated": "2021-10-31",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-185228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111862600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Smartphone",
            "affiliation": "N",
            "endpointDescription": "Computer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4862 Rockvale Dr",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347583368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nce Consulting Services LLC
• Nicholas Alexander Neborak, RCSWI
• Christine Ann Nedd
• Jennifer Nedimyer Horner
• Morris Nissim Negrin, MD
• Yamilis Negron Rios, APRN
• Ronald Ismael Negron Santos, CRNA
• Arelis Negron
• Doris M Negron
• Hugo Negron

• Behavior Technician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2021; 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.