Active NPI
Maydarlin Reyes Guerra
- Behavior Technician
- Kissimmee, FL
National Provider Identifier
1235973850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-347233
- Practice address
- 1381 S Lyndell Dr
Kissimmee, FL 34741-2114 - Phone
- (201) 388-3897
- NPI assigned
- Jun 19, 2024
- Last updated
- Jun 19, 2024
- 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-24-347233 | FL | Primary |
Addresses
Primary practice location
1381 S Lyndell Dr
Kissimmee, FL 34741-2114
Mailing address
1381 S Lyndell Dr
Kissimmee, FL 34741-2114
Phone (201) 388-3897
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-24-347233 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Early ABA & Academic Intervention Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1235973850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1381 S LYNDELL DR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347412114",
"telephone_number": "201-388-3897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1381 S LYNDELL DR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347412114",
"telephone_number": "201-388-3897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES GUERRA",
"first_name": "MAYDARLIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-19",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-24-347233",
"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 19, 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.