Individual provider Active NPI

Angelo Enrique Piloto Chacon

  • Behavior Technician
  • Miami Gardens, FL
National Provider Identifier
1841902590
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
25405008 Issued in FL
Practice address
3371 NW 178TH St
Miami Gardens, FL 33056-3478
Phone
(786) 458-9545
NPI assigned
Dec 14, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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 25405008 FL Primary

Addresses

Primary practice location

3371 NW 178TH St
Miami Gardens, FL 33056-3478

Mailing address

3371 NW 178TH St
Miami Gardens, FL 33056-3478
Phone (786) 458-9545

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
25405008FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1841902590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3371 NW 178TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330563478",
            "telephone_number": "786-458-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3371 NW 178TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330563478",
            "telephone_number": "786-458-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILOTO CHACON",
        "first_name": "ANGELO",
        "middle_name": "ENRIQUE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-14",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "25405008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.