Active NPI
Vanessa M Garzon, BS
- Behavior Technician
- Orlando, FL
National Provider Identifier
1023608163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-294050
- Practice address
- 730 Sand Lake Rd Ste 176
Orlando, FL 32809-7747 - Phone
- (407) 412-6114
- NPI assigned
- Jan 22, 2021
- Last updated
- Aug 28, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | FL | ||
| Behavior Technician | 106S00000X | RBT-23-294050 | FL | Primary |
Addresses
Primary practice location
730 Sand Lake Rd Ste 176
Orlando, FL 32809-7747
Mailing address
579 Bohannon Blvd
Orlando, FL 32824-5906
Phone (407) 600-2145
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-294050 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Early ABA & Academic Intervention Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1023608163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "579 BOHANNON BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328245906",
"telephone_number": "407-600-2145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 SAND LAKE RD STE 176",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328097747",
"telephone_number": "407-412-6114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARZON",
"first_name": "VANESSA",
"middle_name": "M",
"credential": "BS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-22",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-23-294050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.