Individual provider Active NPI

Madayanlis Talon Zamora, RBT-20-145153

  • Behavior Technician
  • Cape Coral, FL
National Provider Identifier
1124767389
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-145153 Issued in FL
Practice address
2513 NW 15TH Ave
Cape Coral, FL 33993-8541
Phone
(239) 245-0824
NPI assigned
Jun 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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-20-145153 FL Primary

Addresses

Primary practice location

2513 NW 15TH Ave
Cape Coral, FL 33993-8541

Mailing address

2513 NW 15TH Ave
Cape Coral, FL 33993-8541
Phone (239) 245-0824

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-20-145153FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1124767389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 NW 15TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339938541",
            "telephone_number": "239-245-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2513 NW 15TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339938541",
            "telephone_number": "239-245-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALON ZAMORA",
        "first_name": "MADAYANLIS",
        "credential": "RBT-20-145153",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-145153",
            "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 Jun 3, 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.

Verify at the official NPI Registry.