Individual provider Active NPI

Gretel Rabi Naranjo

  • Behavior Technician
  • Homestead, FL
National Provider Identifier
1962920652
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-18-68794 Issued in FL
Practice address
25097 SW 124TH CT
Homestead, FL 33032-5948
Phone
(305) 776-2862
NPI assigned
Sep 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Technician 106S00000X RBT-18-68794 FL Primary

Addresses

Primary practice location

25097 SW 124TH CT
Homestead, FL 33032-5948

Mailing address

25097 SW 124TH CT
Homestead, FL 33032-5948
Phone (305) 776-2862

Other practice location 1

3621 NW 178th St
Miami Gardens, FL 33056-3414
Phone (305) 796-2862

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
RBT-18-68794FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1504310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962920652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25097 SW 124TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330325948",
            "telephone_number": "305-776-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25097 SW 124TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330325948",
            "telephone_number": "305-776-2862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3621 NW 178th St",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "330563414",
            "country_code": "US",
            "telephone_number": "305-796-2862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RABI NARANJO",
        "first_name": "GRETEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-02",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-68794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 21, 2022; 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.