Douglas Lazaro Guillen Garcia

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-397510 Issued in FL

Practice address

12651 McGregor Blvd Ste 501
Fort Myers, FL 33919-4496

Phone

(239) 691-6482

NPI assigned

Jan 24, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1093527160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 36TH ST SW",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339764671",
            "telephone_number": "239-248-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12651 MCGREGOR BLVD STE 501",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194496",
            "telephone_number": "239-691-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLEN GARCIA",
        "first_name": "DOUGLAS",
        "middle_name": "LAZARO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-397510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Katherine Guevara, PA-C
• Ashley Gugliotta, OTRL
• Dawn Guida
• Guiding Stars Behavioral Services LLC
• Lorraine Guile
• Guillot Enterprises LLC
• Lacira Guedis Guimaraes
• Katrina Rose Guittar, LMHC, MA, R-D/MT
• Elaine Gulati
• Joseph Gulde, MD

• Behavior Technician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.