Active NPI
Graciela Angelica Placeres, RBT
- Behavior Technician
- Longwood, FL
National Provider Identifier
1194504514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-296600
- Practice address
- 1060 W State Road 434
Longwood, FL 32750-4919 - Phone
- (407) 324-7772
- NPI assigned
- Sep 25, 2023
- Last updated
- Sep 25, 2023
- 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-23-296600 | FL | Primary |
Addresses
Primary practice location
1060 W State Road 434
Longwood, FL 32750-4919
Mailing address
9950 Lake Elmhurst LN
Oviedo, FL 32765-4132
Phone (727) 834-0669
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-23-296600 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1194504514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9950 LAKE ELMHURST LN",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327654132",
"telephone_number": "727-834-0669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 W STATE ROAD 434",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327504919",
"telephone_number": "407-324-7772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLACERES",
"first_name": "GRACIELA",
"middle_name": "ANGELICA",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-25",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-23-296600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.