Maya Gapac

Key facts

NPI

1083301683

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

License

23-263804 (GA)

Practice address

1360 Caduceus Way Ste 101
Watkinsville, GA 30677-7300

Phone

(762) 499-3476

NPI assigned

Apr 24, 2023

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 25, 2023.

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1083301683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 ROBIN HOOD TRL",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304586048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 CADUCEUS WAY STE 101",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777300",
            "telephone_number": "762-499-3476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAPAC",
        "first_name": "MAYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "23-263804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Samantha Gamarra, FNP
• Angela M Garcia, MED, RD, LD
• Danielle Gusman Garcia, M.S. CCC-SLP
• Ricardo Enrique Garcia
• Travis Garnto, DMD
• Jeremy E Garrard, APRN

All providers in Watkinsville, GA · Behavior Technician in Georgia