Individual provider Active NPI

Lisandra Cortina Garcia, RBT-23-306003

  • Behavior Technician
  • Cape Coral, FL
National Provider Identifier
1083477079
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-306003 Issued in FL
Practice address
1703 NW 17TH Ter
Cape Coral, FL 33993-2946
Phone
(786) 468-5398
NPI assigned
Feb 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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-23-306003 FL Primary

Addresses

Primary practice location

1703 NW 17TH Ter
Cape Coral, FL 33993-2946

Mailing address

1703 NW 17TH Ter
Cape Coral, FL 33993-2946
Phone (786) 468-5398

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-23-306003FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1083477079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 NW 17TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339932946",
            "telephone_number": "786-468-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 NW 17TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339932946",
            "telephone_number": "786-468-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTINA GARCIA",
        "first_name": "LISANDRA",
        "credential": "RBT-23-306003",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-306003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.