Individual provider Active NPI

Gertrudis Palacio, RBT

  • Behavior Technician
  • Hialeah, FL
National Provider Identifier
1760150825
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT21-175136 Issued in FL
Practice address
585 E 28TH St
Hialeah, FL 33013-3643
Phone
(786) 520-9247
NPI assigned
Sep 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT21-1751316 FL
Behavior Technician 106S00000X RBT21-175136 FL Primary

Addresses

Primary practice location

585 E 28TH St
Hialeah, FL 33013-3643

Mailing address

585 E 28TH St
Hialeah, FL 33013-3643
Phone (786) 520-9247

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DCN@emanuelabaservices.com Direct Emanuel ABA services LLC

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

LicenseStateTypeSpecialty
RBT21-1751316FLMDBehavior Technician
RBT21-175136FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1760150825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 E 28TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133643",
            "telephone_number": "786-520-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 E 28TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133643",
            "telephone_number": "786-520-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIO",
        "first_name": "GERTRUDIS",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT21-1751316",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT21-175136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DCN@emanuelabaservices.com",
            "affiliation": "Y",
            "endpointDescription": "Agency",
            "affiliationName": "Emanuel ABA services LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20283 State Road 7",
            "city": "Boca Raton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334986901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.