Active NPI
Glayen Urdaneta Cabello
- Behavior Technician
- Kissimmee, FL
National Provider Identifier
1194457903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-222554
- Practice address
- 1912 Red Canyon Dr
Kissimmee, FL 34744-6098 - Phone
- (689) 200-4783
- NPI assigned
- Jun 29, 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 | RBT-22-222554 | FL | Primary |
Addresses
Primary practice location
1912 Red Canyon Dr
Kissimmee, FL 34744-6098
Mailing address
2868 Nottel Dr
Saint Cloud, FL 34772-8782
Phone (404) 960-3169
Other practice location 1
2868 Nottel Dr
Saint Cloud, FL 34772-8782
Phone (404) 960-3169
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-22-222554 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1194457903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2868 NOTTEL DR",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347728782",
"telephone_number": "404-960-3169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1912 RED CANYON DR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347446098",
"telephone_number": "689-200-4783"
}
],
"practiceLocations": [
{
"address_1": "2868 Nottel Dr",
"address_purpose": "LOCATION",
"city": "Saint Cloud",
"state": "FL",
"postal_code": "347728782",
"country_code": "US",
"telephone_number": "404-960-3169",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "URDANETA CABELLO",
"first_name": "GLAYEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-29",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-22-222554",
"primary": true
}
],
"identifiers": [],
"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 Jun 29, 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.