Active NPI
Frida Cerezo, RBT
- Behavior Technician
- Mt Juliet, TN
National Provider Identifier
1871273086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1535 N Mount Juliet Rd
Mt Juliet, TN 37122-3315 - Phone
- (615) 560-6622
- NPI assigned
- Jul 21, 2023
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
1535 N Mount Juliet Rd
Mt Juliet, TN 37122-3315
Mailing address
401 Nonaville Rd Apt 623
Mount Juliet, TN 37122-5143
Phone (323) 929-9934
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1871273086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 NONAVILLE RD APT 623",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371225143",
"telephone_number": "323-929-9934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1535 N MOUNT JULIET RD",
"city": "MT JULIET",
"state": "TN",
"postal_code": "371223315",
"telephone_number": "615-560-6622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEREZO",
"first_name": "FRIDA",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-21",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Juliet, TN
- Michele Cayton, NP
- Cedar Creek Home Health Care Agency, LLC
- Center for Spine Joint & Neuromuscular Rehab PC
- Center for Spine, Joint & Neuromuscular Rehabilitation
- Center for Trauma Recovery and Resolution
- Jamie Chambers, M.A., CCC-SLP
- Cortney Chandler, D.O.
- Courtney R. Chandler
- Alexandra Chapman, DC
- Melissa Chapman
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.