Individual provider Active NPI

Javier J. Segura Pino

  • Behavior Technician
  • Pinecrest, FL
National Provider Identifier
1932087558
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-4557663 Issued in FL
Practice address
9719 S Dixie Hwy Ste 6
Pinecrest, FL 33156-2834
Phone
(786) 564-9660
NPI assigned
Aug 22, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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 RBT-25-4557663 FL Primary

Addresses

Primary practice location

9719 S Dixie Hwy Ste 6
Pinecrest, FL 33156-2834

Mailing address

102 Engle Rd
Lake Worth, FL 33461-4102
Phone (786) 513-4081

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
RBT-25-4557663FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Care for Life Therapy Inc CurrentSince Aug 25, 2025 Accepting new patients

Locations

9719 S Dixie Hwy
Ste 6
Pinecrest, FL 33156
Phone (305) 495-5593

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.

NPI Registry JSON

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1932087558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ENGLE RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614102",
            "telephone_number": "786-513-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9719 S DIXIE HWY STE 6",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331562834",
            "telephone_number": "786-564-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGURA PINO",
        "first_name": "JAVIER",
        "middle_name": "J.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-25-4557663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinecrest, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.