Evelyn Jean Telemacque

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

24323439 Issued in FL

Practice address

5959 Lake Ellenor Dr
Orlando, FL 32809-4633

Phone

(321) 972-4039

NPI assigned

Jan 4, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1013787746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W WISCONSIN AVE APT 2",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327204277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 LAKE ELLENOR DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094633",
            "telephone_number": "321-972-4039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12724 Gran Bay Pkwy W Ste 410",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322589486",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TELEMACQUE",
        "first_name": "EVELYN",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-04",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "24323439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamedtaki Abdulaziz Tejani, M.D.
• Kaylie Tejeda, DNAP, APRN, CRNA
• Rafael Tejeda, MD
• Valeria Andrea Tejeira
• Tele911 Florida Emergency Medical Group, P.a.
• Teleradiology Specialists of the Southeast, PLLC
• Mario Telfair Jr.
• Tori Telfer, PHD
• Whitney Lashonda Telfort
• Kerri Lynn Telibasa

• All providers in Orlando, FL
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.