Active NPI
Ketnie Elie
- Behavior Technician
- Champions Gate, FL
National Provider Identifier
1235091976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-25-494053
- Practice address
- 8390 Champions Gate Blvd
Champions Gate, FL 33896-8310 - Phone
- (844) 854-1116
- NPI assigned
- Dec 1, 2025
- 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-25-494053 | FL | Primary |
Addresses
Primary practice location
8390 Champions Gate Blvd
Champions Gate, FL 33896-8310
Mailing address
1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108
Other practice location 1
13538 Village Park Dr
Orlando, FL 32837-7698
Phone (407) 730-2948
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-25-494053 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1235091976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S DOUGLAS RD STE 230",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331344108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8390 CHAMPIONS GATE BLVD",
"city": "CHAMPIONS GATE",
"state": "FL",
"postal_code": "338968310",
"telephone_number": "844-854-1116"
}
],
"practiceLocations": [
{
"address_1": "13538 Village Park Dr",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328377698",
"country_code": "US",
"telephone_number": "407-730-2948",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELIE",
"first_name": "KETNIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-01",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-25-494053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Champions Gate, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.