Gladys Rosina Perales Pacheco

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

23286327 Issued in FL

Practice address

4117 N Pine Island Rd
Sunrise, FL 33351-6005

Phone

(954) 652-8613

NPI assigned

Nov 30, 2023

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

Practice roles

Locations

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.

• Vital Skills Center LLC

  • Behavior Analyst
  • Sunrise, FL
  • NPI 1912467788
  NPD

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1841066826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4117 N PINE ISLAND RD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516005",
            "telephone_number": "954-605-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 N PINE ISLAND RD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516005",
            "telephone_number": "954-652-8613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALES PACHECO",
        "first_name": "GLADYS",
        "middle_name": "ROSINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "23286327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Pena
• Virgilio Pena
• Shayonna Pender
• Anya Pennycooke, MSN, APRN, FNP-BC
• Raquel Penuela
• Luciana Wuo Perasso, MS, RDN, LDN
• Jason Daniel Perelman
• Alicia A Perez Angel
• Oniel Perez Perez
• Nelly Maria Perez Rodriguez

• Behavior Technician in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Behavior Technician in Florida

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