Active NPI
Kourtney Deon Hicks
- Behavior Technician
- Pembroke Pines, FL
National Provider Identifier
1902743362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-26-525253
- Practice address
- 1806 N Flamingo Rd Ste 110
Pembroke Pines, FL 33028-1027 - Phone
- (786) 673-9355
- NPI assigned
- May 1, 2026
- 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-26-525253 | FL | Primary |
Addresses
Primary practice location
1806 N Flamingo Rd Ste 110
Pembroke Pines, FL 33028-1027
Mailing address
1151 SW 112TH Ave
Pembroke Pines, FL 33025-3526
Phone (786) 428-8890
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-26-525253 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1902743362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 SW 112TH AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330253526",
"telephone_number": "786-428-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1806 N FLAMINGO RD STE 110",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281027",
"telephone_number": "786-673-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "KOURTNEY",
"middle_name": "DEON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-01",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-26-525253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.