Active NPI
Carolin Perez Garcia
- Behavior Technician
- Kissimmee, FL
National Provider Identifier
1114674108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 158 Magic Landings Blvd
Kissimmee, FL 34744-5514 - Phone
- (786) 985-9713
- NPI assigned
- Mar 9, 2022
- 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 | FL | Primary |
Addresses
Primary practice location
158 Magic Landings Blvd
Kissimmee, FL 34744-5514
Mailing address
158 Magic Landings Blvd
Kissimmee, FL 34744-5514
Phone (786) 985-9713
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113341900 | Medicaid | FL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1114674108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 MAGIC LANDINGS BLVD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347445514",
"telephone_number": "786-985-9713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 MAGIC LANDINGS BLVD",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347445514",
"telephone_number": "786-985-9713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ GARCIA",
"first_name": "CAROLIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-09",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113341900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.