Active NPI
Omar Pelaez Jr.
- Behavior Technician
- Boynton Beach, FL
National Provider Identifier
1962257386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-337738
- Practice address
- 2500 Quantum Lakes Dr Ste 203
Boynton Beach, FL 33426-8323 - Phone
- (561) 409-8240
- NPI assigned
- Apr 19, 2024
- Last updated
- Apr 19, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | RBT-24-337738 | FL | Primary |
Addresses
Primary practice location
2500 Quantum Lakes Dr Ste 203
Boynton Beach, FL 33426-8323
Mailing address
12232 SW 10TH St
Miami, FL 33184-2439
Phone (305) 316-7537
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 |
|---|---|---|---|
| RBT-24-337738 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1962257386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12232 SW 10TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331842439",
"telephone_number": "305-316-7537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 QUANTUM LAKES DR STE 203",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334268323",
"telephone_number": "561-409-8240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELAEZ",
"first_name": "OMAR",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-19",
"last_updated": "2024-04-19",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-24-337738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.