NPIMap

Individual provider Active NPI

Aleida Garcia

  • Behavior Technician
  • Queen Creek, AZ
National Provider Identifier
1154837490
Registry record updated Dec 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-17-43868 Issued in AZ
Practice address
18521 E Queen Creek Rd Ste 105-627
Queen Creek, AZ 85142-5870
Phone
(480) 361-1025
Fax
(480) 814-7488
NPI assigned
Dec 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2017

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-17-43868 AZ Primary

Addresses

Primary practice location

18521 E Queen Creek Rd Ste 105-627
Queen Creek, AZ 85142-5870

Mailing address

18521 E Queen Creek Rd Ste 105-627
Queen Creek, AZ 85142-5870
Phone (480) 361-1025

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-17-43868AZMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Positiveaba Past Accepting new patients
Positive ABA Past Accepting new patients

Organizations & group practices 2

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": "1513900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513900800000",
    "number": "1154837490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18521 E QUEEN CREEK RD STE 105-627",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425870",
            "telephone_number": "480-361-1025",
            "fax_number": "480-814-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18521 E QUEEN CREEK RD STE 105-627",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425870",
            "telephone_number": "480-361-1025",
            "fax_number": "480-814-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ALEIDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-22",
        "last_updated": "2017-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AZ",
            "license": "RBT-17-43868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; 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.