Active NPI
Celine Denise NG
- Behavior Analyst
- Fort Myers, FL
National Provider Identifier
1013519560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-26-89407
- Practice address
- 12734 Kenwood LN
Fort Myers, FL 33907-5666 - Phone
- (407) 309-9174
- NPI assigned
- Nov 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-26-89407 | FL | Primary |
Addresses
Primary practice location
12734 Kenwood LN
Fort Myers, FL 33907-5666
Mailing address
3000 47TH St W
Lehigh Acres, FL 33971-5862
Phone (786) 606-1109
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1013519560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 47TH ST W",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339715862",
"telephone_number": "786-606-1109",
"fax_number": "786-606-1109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12734 KENWOOD LN",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339075666",
"telephone_number": "407-309-9174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG",
"first_name": "CELINE",
"middle_name": "DENISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-10",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-26-89407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.