Individual provider Active NPI

Amarily Fraga Perez

  • Behavior Technician
  • Tampa, FL
National Provider Identifier
1962164178
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT24324167 Issued in FL
Practice address
5051 Memorial Hwy Unit B
Tampa, FL 33634-7355
Phone
(813) 290-0779
NPI assigned
Oct 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA95922 FL
Behavior Technician 106S00000X RBT24324167 FL Primary

Addresses

Primary practice location

5051 Memorial Hwy Unit B
Tampa, FL 33634-7355

Mailing address

2305 Carroll Grove Dr
Tampa, FL 33612-6522
Phone (813) 506-1701

Other practice location 1

5287 Ehrlich Rd
Tampa, FL 33624-2042
Phone (813) 956-6206

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
RBT24324167FLMDBehavior Technician
MA95922FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1962164178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 CARROLL GROVE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126522",
            "telephone_number": "813-506-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 MEMORIAL HWY UNIT B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347355",
            "telephone_number": "813-290-0779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5287 Ehrlich Rd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336242042",
            "country_code": "US",
            "telephone_number": "813-956-6206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRAGA PEREZ",
        "first_name": "AMARILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA95922",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT24324167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.