Active NPI
David Garcia Wood
- Behavior Technician
- Oakland Park, FL
National Provider Identifier
1114574050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-95805
- Practice address
- 2701 W Oakland Park Blvd Ste 410-9
Oakland Park, FL 33311-1388 - Phone
- (305) 389-3224
- NPI assigned
- Aug 26, 2019
- Sex
- Male
- 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-19-95805 | FL | Primary |
Addresses
Primary practice location
2701 W Oakland Park Blvd Ste 410-9
Oakland Park, FL 33311-1388
Mailing address
906 S Dixie CT Apt 105
Fort Lauderdale, FL 33311-1169
Phone (954) 709-8745
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-19-95805 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vida Healing | Behavior Technician | 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": "1566777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1114574050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 S DIXIE CT APT 105",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333111169",
"telephone_number": "954-709-8745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 W OAKLAND PARK BLVD STE 410-9",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333111388",
"telephone_number": "305-389-3224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "DAVID",
"middle_name": "GARCIA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-26",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-19-95805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.