Individual provider Active NPI

Katherine Pina

  • Behavior Technician
  • Pembroke Pines, FL
National Provider Identifier
1922832765
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB1036376 Issued in FL
Practice address
2000 NW 150TH Ave Ste 2112
Pembroke Pines, FL 33028-2870
Phone
(754) 264-8779
Fax
(754) 264-8308
NPI assigned
Aug 26, 2024
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BACB1036376 FL Primary

Addresses

Primary practice location

2000 NW 150TH Ave Ste 2112
Pembroke Pines, FL 33028-2870

Mailing address

2000 NW 150TH Ave Ste 2112
Pembroke Pines, FL 33028-2870
Phone (754) 264-8779

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
BACB1036376FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Initiatives, LLC Behavior Technician CurrentSince Sep 1, 2024 Accepting new patients

Locations

2000 NW 150th Ave
Ste 2112
Pembroke Pines, FL 33028
Phone (754) 264-8779

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1922832765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NW 150TH AVE STE 2112",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282870",
            "telephone_number": "754-264-8779",
            "fax_number": "754-264-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NW 150TH AVE STE 2112",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282870",
            "telephone_number": "754-264-8779",
            "fax_number": "754-264-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINA",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB1036376",
            "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 Aug 26, 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.