Indiana San Emeterio Perez, RBT-20-143931

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-24-15720 Issued in FL

Practice address

3309 W Waters Ave Ste a
Tampa, FL 33614-2766

Phone

(813) 898-0014

Fax

(813) 898-0015

NPI assigned

Oct 22, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rizo'S Rehab Center.LLC

  • Behavior Analyst
  • Tampa, FL
  • NPI 1982264909
  NPD (past)

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1881415883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 N HIMES AVE APT 1506",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336145777",
            "telephone_number": "281-653-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 W WATERS AVE STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142766",
            "telephone_number": "813-898-0014",
            "fax_number": "813-898-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN EMETERIO PEREZ",
        "first_name": "INDIANA",
        "credential": "RBT-20-143931",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-22",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-20-143931",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-24-15720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaniqua Samuels, RN
• Michaela Samuelsen
• Ashley Michelle Samuelsohn, DO
• Heather Marie Samuelson, M.D.
• Leyla Samur, RN
• San Jose Alf, Inc.
• Daniela San Yee Gomez
• Sana Mente Counseling LLC
• Sana Therapy Centers, Inc.
• Ali Sanati-Mehrizy, MD

• Assistant Behavior Analyst in Tampa, FL
• Providers in Tampa, FL by specialty
• Assistant Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.