Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelvis Samuel Betancourt Tamayo

Individual provider Behavior Technician · NPI 1093688855

Kelvis Samuel Betancourt Tamayo is a Behavior Technician in Boca Raton, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

500 NE Spanish River Blvd
Boca Raton, FL 33431-4515
Phone: (561) 563-3738
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence BACB1362422 (FL)

Record details

NPI number1093688855
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 27, 2025
Last updated in NPPESSeptember 27, 2025
Certification dateSeptember 27, 2025

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