Micaela Gardner, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5550 Old Shell Rd
Mobile, AL 36608-3039

Phone

(251) 287-2442

NPI assigned

Jun 3, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1043886534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083039",
            "telephone_number": "251-287-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083039",
            "telephone_number": "251-287-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MICAELA",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Catalyst",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "soap notes",
            "address_1": "5550 Old Shell Rd",
            "city": "Mobile",
            "state": "AL",
            "country_code": "US",
            "postal_code": "366083039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joy Darby Gardberg, R.D.
• Alexandria Shorie' Gardner, BCBA
• Debra Gardner, M.D.
• Lacie Gardner
• Lloyd Gardner, MD
• Srikanth Garlapati
• Christy Kight Garmon, PHARMD
• Christopher Michael Garner, CRNP
• Jaclyn Elkins Garner, M.S., CCC-SLP
• Jessica Sharpe Garner, CRNP

• Behavior Technician in Mobile, AL
• Providers in Mobile, AL by specialty
• Behavior Technician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.