Antonio Abel Fuentes Rodriguez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-364933 Issued in FL

Practice address

1750 NW 107TH Ave Unit P510
Sweetwater, FL 33172-2908

Phone

(305) 878-8835

NPI assigned

Aug 13, 2024

Last updated

Aug 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1912738741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 NW 107TH AVE UNIT P510",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331722908",
            "telephone_number": "305-878-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 NW 107TH AVE UNIT P510",
            "city": "SWEETWATER",
            "state": "FL",
            "postal_code": "331722908",
            "telephone_number": "305-878-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES RODRIGUEZ",
        "first_name": "ANTONIO",
        "middle_name": "ABEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-364933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Sweetwater, FL
• Providers in Sweetwater, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.