Individual provider Active NPI

Marcus - Garcia Breneville

  • Behavior Technician
  • Orlando, FL
National Provider Identifier
1033047477
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-499198 Issued in FL
Practice address
6200 Lee Vista Blvd Ste 700
Orlando, FL 32822-5150
Phone
(754) 444-3707
NPI assigned
May 13, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X RBT-25-499198 FL Primary

Addresses

Primary practice location

6200 Lee Vista Blvd Ste 700
Orlando, FL 32822-5150

Mailing address

5451 Vineland Rd Apt 2314
Orlando, FL 32811-7630
Phone (954) 638-4874

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-25-499198FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1778630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1033047477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5451 VINELAND RD APT 2314",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328117630",
            "telephone_number": "954-638-4874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 LEE VISTA BLVD STE 700",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328225150",
            "telephone_number": "754-444-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENEVILLE",
        "first_name": "MARCUS - GARCIA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-13",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-25-499198",
            "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 May 13, 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.