Individual provider Active NPI

Rafael Alejandro Ruizanchez

  • Behavior Technician
  • Fort Myers, FL
National Provider Identifier
1144198755
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-489251 Issued in FL
Practice address
12493 Brantley Commons CT
Fort Myers, FL 33907-5693
Phone
(239) 268-8707
NPI assigned
Oct 27, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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-25-489251 FL Primary

Addresses

Primary practice location

12493 Brantley Commons CT
Fort Myers, FL 33907-5693

Mailing address

4783 Mirage Bay Cir Unit 212
Fort Myers, FL 33966-6649
Phone (786) 650-9381

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-25-489251FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Endeavors Therapy Services, LLC. CurrentSince Nov 18, 2025 Accepting new patients

Locations

12493 Brantley Commons Ct
Fort Myers, FL 33907
Phone (239) 268-8707

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": "1761523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1144198755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4783 MIRAGE BAY CIR UNIT 212",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339666649",
            "telephone_number": "786-650-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12493 BRANTLEY COMMONS CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075693",
            "telephone_number": "239-268-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZANCHEZ",
        "first_name": "RAFAEL",
        "middle_name": "ALEJANDRO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-25-489251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.