Active NPI
Nikiforos Petrakis
- Behavior Technician
- Hialeah, FL
National Provider Identifier
1962093963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 21-153186
- Practice address
- 19849 NW 65TH CT
Hialeah, FL 33015-8114 - Phone
- (305) 834-5033
- NPI assigned
- Feb 1, 2021
- Sex
- Male
- 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 | 21-153186 | FL | Primary |
Addresses
Primary practice location
19849 NW 65TH CT
Hialeah, FL 33015-8114
Mailing address
19849 NW 65TH CT
Hialeah, FL 33015-8114
Phone (305) 834-5033
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 |
|---|---|---|---|
| 21-153186 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rise and Shine ABA Services LLC | Behavior Technician | Current | Accepting new patients |
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.
-
- Behavior Technician
- Orlando, FL
- NPI 1932938156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612137600000",
"number": "1962093963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19849 NW 65TH CT",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330158114",
"telephone_number": "305-834-5033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19849 NW 65TH CT",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330158114",
"telephone_number": "305-834-5033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRAKIS",
"first_name": "NIKIFOROS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-01",
"last_updated": "2021-02-01",
"certification_date": "2021-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "21-153186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.