Individual provider Active NPI

Gladys Alfonso Pacheco

  • Behavior Technician
  • Hialeah Gardens, FL
National Provider Identifier
1053191098
Registry record updated Nov 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-479978 Issued in FL
Practice address
9813 W Okeechobee Rd Apt 110
Hialeah Gardens, FL 33016-2140
Phone
(786) 616-5866
NPI assigned
Oct 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-25-479978 FL Primary
Social Worker 104100000X FL

Addresses

Primary practice location

9813 W Okeechobee Rd Apt 110
Hialeah Gardens, FL 33016-2140

Mailing address

9813 W Okeechobee Rd Apt 110
Hialeah Gardens, FL 33016-2140
Phone (786) 616-5866

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-25-479978FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762560000000",
    "number": "1053191098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9813 W OKEECHOBEE RD APT 110",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330162140",
            "telephone_number": "786-616-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9813 W OKEECHOBEE RD APT 110",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330162140",
            "telephone_number": "786-616-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFONSO PACHECO",
        "first_name": "GLADYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2025-11-08",
        "certification_date": "2025-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-25-479978",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2025; 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.