Individual provider Active NPI

Denice Suarez Machin, RBT

  • Behavior Technician
  • Lake Clarke Shores, FL
National Provider Identifier
1790383735
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
19-86712 Issued in FL
Practice address
1521 Forest Hill Blvd Ste 3
Lake Clarke Shores, FL 33406-6031
Phone
(561) 444-2814
Fax
(561) 444-2458
NPI assigned
Oct 12, 2020
Last updated
Mar 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 19-86712 FL Primary

Addresses

Primary practice location

1521 Forest Hill Blvd Ste 3
Lake Clarke Shores, FL 33406-6031

Mailing address

2136 Bonnie Dr
West Palm Beach, FL 33415-7206
Phone (561) 229-8508

Other practice location 1

1521 Forest Hill Blvd Ste 3B
Lake Clarke Shores, FL 33406-6031
Phone (561) 506-3665

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
19-86712FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Minds Behavioral Health, LLC. PastSince Aug 1, 2022 Accepting new patients
Rainbow of Life Behavioral Health Center, LLC PastSince Aug 1, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1790383735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 BONNIE DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334157206",
            "telephone_number": "561-229-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 FOREST HILL BLVD STE 3",
            "city": "LAKE CLARKE SHORES",
            "state": "FL",
            "postal_code": "334066031",
            "telephone_number": "561-444-2814",
            "fax_number": "561-444-2458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1521 Forest Hill Blvd Ste 3B",
            "address_purpose": "LOCATION",
            "city": "Lake Clarke Shores",
            "state": "FL",
            "postal_code": "334066031",
            "country_code": "US",
            "telephone_number": "561-506-3665",
            "fax_number": "561-444-2458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUAREZ MACHIN",
        "first_name": "DENICE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "19-86712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Clarke Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.