Active NPI
Berenis Rosa
- Behavior Analyst
- Temple Terrace, FL
National Provider Identifier
1952976128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 6426 W Riverchase Dr BLDG 33
Temple Terrace, FL 33637-5658 - Phone
- (718) 764-9423
- NPI assigned
- May 20, 2021
- 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 Analyst | 103K00000X | Primary |
Addresses
Primary practice location
6426 W Riverchase Dr BLDG 33
Temple Terrace, FL 33637-5658
Mailing address
6426 W Riverchase Dr BLDG 33
Temple Terrace, FL 33637-5658
Phone (718) 764-9423
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| UB30302W | Medicaid | NY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1952976128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6426 W RIVERCHASE DR BLDG 33",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336375658",
"telephone_number": "718-764-9423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6426 W RIVERCHASE DR BLDG 33",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336375658",
"telephone_number": "718-764-9423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSA",
"first_name": "BERENIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-20",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "UB30302W",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Temple Terrace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.