Active NPI
Tanya Renee Hileman, RBT
- Behavior Technician
- Eustis, FL
National Provider Identifier
1194461087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-213584
- Practice address
- 437 W Ardive Ave
Suite 481
Eustis, FL 32726 - Phone
- (352) 353-8918
- Fax
- (317) 520-8200
- NPI assigned
- May 12, 2022
- Sex
- Female
- Sole proprietor
- No
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-22-213584 | FL | Primary |
Addresses
Primary practice location
437 W Ardive Ave
Suite 481
Eustis, FL 32726
Mailing address
18 W Morningview Dr
Eustis, FL 32726-4264
Phone (352) 682-9573
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-22-213584 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714089600000",
"number": "1194461087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 W MORNINGVIEW DR",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327264264",
"telephone_number": "352-682-9573",
"fax_number": "317-520-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "437 W ARDIVE AVE",
"address_2": "SUITE 481",
"city": "EUSTIS",
"state": "FL",
"postal_code": "32726",
"telephone_number": "352-353-8918",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILEMAN",
"first_name": "TANYA",
"middle_name": "RENEE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-12",
"last_updated": "2024-04-26",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-22-213584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eustis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.