Individual provider Active NPI

Betty Cecilia Samper, RBT

  • Behavior Technician
  • Homestead, FL
National Provider Identifier
1962859561
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
24164 SW 118TH Ave
Homestead, FL 33032-3437
Phone
(786) 202-0462
NPI assigned
May 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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 Primary

Addresses

Primary practice location

24164 SW 118TH Ave
Homestead, FL 33032-3437

Mailing address

24164 SW 118TH Ave
Homestead, FL 33032-3437
Phone (786) 202-0462

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL miami

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": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1962859561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24164 SW 118TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330323437",
            "telephone_number": "786-202-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24164 SW 118TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330323437",
            "telephone_number": "786-202-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPER",
        "first_name": "BETTY",
        "middle_name": "CECILIA",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "miami",
            "affiliation": "N",
            "address_1": "24164 SW 118th Ave",
            "city": "Homestead",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330323437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.

Verify at the official NPI Registry.