Healthcare Provider Details

I. General information

NPI: 1699668145
Provider Name (Legal Business Name): REBEKAH ARIELY MARTINS NASCIMENTO RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2025
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3830 LYONS RD APT 211
COCONUT CREEK FL
33073-4479
US

IV. Provider business mailing address

4641 N STATE ROAD 7 UNIT 19&20
CORAL SPRINGS FL
33073
US

V. Phone/Fax

Practice location:
  • Phone: 508-377-8717
  • Fax:
Mailing address:
  • Phone: 954-228-5616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-430246
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: