Individual provider Active NPI

Deborah Herrera

  • Behavior Technician
  • Miami Beach, FL
National Provider Identifier
1902494032
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT20147417 Issued in FL
Practice address
910 Bay Dr Apt 28
Miami Beach, FL 33141-5639
Phone
(786) 508-9479
NPI assigned
Jan 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X BACB632318 FL
Behavior Technician 106S00000X RBT20147417 FL Primary

Addresses

Primary practice location

910 Bay Dr Apt 28
Miami Beach, FL 33141-5639

Mailing address

910 Bay Dr Apt 28
Miami Beach, FL 33141-5639

Other practice location 1

910 Bay Dr Apt 28910
Miami Beach, FL 33141-5624
Phone (786) 508-9479

Other identifiers 1

IdentifierTypeStateIssuer
RBT-20-147417OtherFLRBT CREDENTIAL

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
BACB632318FLMDBehavior Technician
RBT20147417FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1902494032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 BAY DR APT 28",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331415639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 BAY DR APT 28",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331415639",
            "telephone_number": "786-508-9479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Bay Dr Apt 28910",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331415624",
            "country_code": "US",
            "telephone_number": "786-508-9479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "DEBORAH",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB632318",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT20147417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RBT CREDENTIAL",
            "identifier": "RBT-20-147417",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.