Individual provider Active NPI

Roxana Gordon Marquez

  • Behavior Technician
  • Lehigh Acres, FL
National Provider Identifier
1003522988
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-22-209210 Issued in FL
Practice address
14 Lorelei Ave
Lehigh Acres, FL 33936-5928
Phone
(786) 909-0492
NPI assigned
Jan 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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 RBT-22-209210 FL Primary
Rehabilitation Chiropractor 111NR0400X 22-209210 FL

Addresses

Primary practice location

14 Lorelei Ave
Lehigh Acres, FL 33936-5928

Mailing address

1118 Fontana St E
Lehigh Acres, FL 33974-4531
Phone (786) 909-0492

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-22-209210FLMDBehavior Technician
22-209210FLMDRehabilitation Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1003522988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 FONTANA ST E",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339744531",
            "telephone_number": "786-909-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 LORELEI AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339365928",
            "telephone_number": "786-909-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON MARQUEZ",
        "first_name": "ROXANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-22-209210",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "22-209210",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.