Active NPI
Johanna Giraldo Vallejo
- Behavior Technician
- Port Saint Lucie, FL
National Provider Identifier
1083559595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-25-495808
- Practice address
- 1801 SE Hillmoor Dr Ste B101-103
Port Saint Lucie, FL 34952-7553 - Phone
- (772) 463-0444
- NPI assigned
- Apr 21, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-25-495808 | FL | Primary |
Addresses
Primary practice location
1801 SE Hillmoor Dr Ste B101-103
Port Saint Lucie, FL 34952-7553
Mailing address
201 Nabble Ave NW
Palm Bay, FL 32907-2838
Phone (305) 797-4571
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-25-495808 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Basics, Incorporated | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1083559595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 NABBLE AVE NW",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329072838",
"telephone_number": "305-797-4571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 SE HILLMOOR DR STE B101-103",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349527553",
"telephone_number": "772-463-0444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIRALDO VALLEJO",
"first_name": "JOHANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-21",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-25-495808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.