Priscilla Raffi

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-247234 Issued in FL

Practice address

18245 Paulson Dr Ste 104
Port Charlotte, FL 33954-1019

Phone

(813) 528-7048

NPI assigned

Dec 19, 2022

Last updated

Dec 19, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1861104077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9677 SE JEANS RD",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342667784",
            "telephone_number": "813-528-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18245 PAULSON DR STE 104",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339541019",
            "telephone_number": "813-528-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFI",
        "first_name": "PRISCILLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-22-247234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "owl@behaviortherapy.net",
            "affiliation": "N",
            "address_1": "18245 Paulson Dr Ste 104",
            "city": "Port Charlotte",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339541019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Jacclyn Raczka, DPT
• Rad One Inc
• Travis Rademaker, CRNA
• Radiology Regional Center, PA
• John B Rafacz, CRNA
• Brooke Raider, LMHC
• Flora Ruth Raines-Pinkerton, BA
• Ramachandran Rajaram, MD
• Lisa Lovella Ralston
• David Roger Ramey, LCSW

• Behavior Technician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.