Active NPI
Aleyda Peterson
- Behavior Technician
- Lake Clarke Shores, FL
National Provider Identifier
1891386249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-122585
- Practice address
- 1521 Forest Hill Blvd Ste 3B
Lake Clarke Shores, FL 33406-6031 - Phone
- (561) 506-3665
- Fax
- (561) 444-2458
- NPI assigned
- Jan 28, 2021
- 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 | RBT-20-122585 | FL | Primary |
Addresses
Primary practice location
1521 Forest Hill Blvd Ste 3B
Lake Clarke Shores, FL 33406-6031
Mailing address
4327 Appian Way
Greenacres, FL 33463-4691
Phone (561) 806-8085
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-20-122585 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainbow of Life Behavioral Health Center, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Lake Worth, FL
- NPI 1841837713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1891386249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4327 APPIAN WAY",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334634691",
"telephone_number": "561-806-8085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 FOREST HILL BLVD STE 3B",
"city": "LAKE CLARKE SHORES",
"state": "FL",
"postal_code": "334066031",
"telephone_number": "561-506-3665",
"fax_number": "561-444-2458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "ALEYDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-28",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-20-122585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Clarke Shores, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.