Tina Michelle Pace, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-18-65139 Issued in FL

Practice address

6416 NW 5TH Way
Fort Lauderdale, FL 33309

Phone

(407) 394-3957

NPI assigned

Jul 19, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1821511023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6416 NW 5TH WAY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333096112",
            "telephone_number": "407-394-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 NW 5TH WAY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33309",
            "telephone_number": "407-394-3957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 SE 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Pompano Beach",
            "state": "FL",
            "postal_code": "330607543",
            "country_code": "US",
            "telephone_number": "954-943-2253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10300 Sunset Dr Ste 114",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33173",
            "country_code": "US",
            "telephone_number": "305-761-7830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10300 Sunset Dr Ste 114",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33173",
            "country_code": "US",
            "telephone_number": "305-761-7830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10300 Sunset Dr Ste 114",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33173",
            "country_code": "US",
            "telephone_number": "305-761-7830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10300 Sunset Dr Ste 114",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33173",
            "country_code": "US",
            "telephone_number": "305-761-7830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACE",
        "first_name": "TINA",
        "middle_name": "MICHELLE",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-65139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, 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 7, 2019; 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.