Individual provider Active NPI

Laura Yanet Matos Sevila, RBT

  • Behavior Technician
  • Port St Lucie, FL
National Provider Identifier
1821800822
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-407945 Issued in FL
Practice address
1600 SW Sylvester LN
Port St Lucie, FL 34984-3605
Phone
(561) 943-2753
NPI assigned
Jan 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X RBT-25-407945 FL Primary

Addresses

Primary practice location

1600 SW Sylvester LN
Port St Lucie, FL 34984-3605

Mailing address

113 SW Grimaldo Ter
Port Saint Lucie, FL 34984-4454
Phone (561) 943-2753

Other practice location 1

113 SW Grimaldo Ter
Port Saint Lucie, FL 34984-4454
Phone (561) 943-2753

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
RBT-25-407945FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1737763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1821800822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SW GRIMALDO TER",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349844454",
            "telephone_number": "561-943-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW SYLVESTER LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349843605",
            "telephone_number": "561-943-2753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 SW Grimaldo Ter",
            "address_purpose": "LOCATION",
            "city": "Port Saint Lucie",
            "state": "FL",
            "postal_code": "349844454",
            "country_code": "US",
            "telephone_number": "561-943-2753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATOS SEVILA",
        "first_name": "LAURA",
        "middle_name": "YANET",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-25",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-25-407945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.

Verify at the official NPI Registry.