Active NPI
Oshin Pena
- Behavior Technician
- Port St Lucie, FL
National Provider Identifier
1841069713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-317418
- Practice address
- 1600 SW Sylvester LN
Port St Lucie, FL 34984-3605 - Phone
- (772) 333-4411
- NPI assigned
- Dec 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-317418 | FL | Primary |
Addresses
Primary practice location
1600 SW Sylvester LN
Port St Lucie, FL 34984-3605
Mailing address
1991 SW Agnes St
Port Saint Lucie, FL 34953-1702
Phone (772) 333-1606
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-317418 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1841069713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1991 SW AGNES ST",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349531702",
"telephone_number": "772-333-1606"
},
{
"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": "772-333-4411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "OSHIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-20",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-23-317418",
"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 Dec 20, 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.