Individual provider Active NPI

Jeanine Beatriz Maltez

  • Behavior Technician
  • South Miami, FL
National Provider Identifier
1831978691
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-298437 Issued in CO
Practice address
7800 S Red Rd Ste 205
South Miami, FL 33143-5542
Phone
(305) 854-2471
NPI assigned
Sep 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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 RBT-23-298437 CO Primary

Addresses

Primary practice location

7800 S Red Rd Ste 205
South Miami, FL 33143-5542

Mailing address

13211 SW 6TH St
Miami, FL 33184-1145
Phone (786) 391-5323

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-23-298437COMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Therapy Connection CurrentSince Dec 1, 2024 Accepting new patients

Locations

7800 SW 57th Ave
Ste 205
South Miami, FL 33143
Phone (305) 854-2471

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1831978691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13211 SW 6TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331841145",
            "telephone_number": "786-391-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 S RED RD STE 205",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435542",
            "telephone_number": "305-854-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTEZ",
        "first_name": "JEANINE",
        "middle_name": "BEATRIZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": "RBT-23-298437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.