Individual provider Active NPI

Giorgdana Ponce Dorta

  • Behavior Technician
  • Lehigh Acres, FL
National Provider Identifier
1063141067
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-22-222137 Issued in FL
Practice address
501 Jersey Rd W
Lehigh Acres, FL 33936-6234
Phone
(239) 315-1004
NPI assigned
Jun 7, 2022
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-22-222137 FL Primary

Addresses

Primary practice location

501 Jersey Rd W
Lehigh Acres, FL 33936-6234

Mailing address

501 Jersey Rd W
Lehigh Acres, FL 33936-6234
Phone (239) 315-1004

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-22-222137FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1063141067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 JERSEY RD W",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366234",
            "telephone_number": "239-315-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 JERSEY RD W",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366234",
            "telephone_number": "239-315-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE DORTA",
        "first_name": "GIORGDANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-22-222137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.