Individual provider Active NPI

Ginangeli Mendez Pagan

  • Behavior Technician
  • Avon Park, FL
National Provider Identifier
1003793472
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-456512 Issued in FL
Practice address
1007 Hal Macrae Loop Apt. 907
Avon Park, FL 33825
Phone
(863) 368-5191
NPI assigned
Aug 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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 RBT-25-456512 FL Primary

Addresses

Primary practice location

1007 Hal Macrae Loop Apt. 907
Avon Park, FL 33825

Mailing address

1007 Hal Macrae Loop Apt. 907
Avon Park, FL 33825
Phone (863) 368-5191

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-25-456512FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1003793472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 HAL MACRAE LOOP APT. 907",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "33825",
            "telephone_number": "863-368-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 HAL MACRAE LOOP APT. 907",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "33825",
            "telephone_number": "863-368-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ PAGAN",
        "first_name": "GINANGELI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-25-456512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.