Fanny S Gaviria

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-18-63008 Issued in FL

Practice address

13504 NE 21St CT
North Miami, FL 33181-1866

Phone

(954) 242-2375

NPI assigned

Aug 21, 2019

Last updated

Oct 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1285281519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13504 NE 21ST CT",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331811866",
            "telephone_number": "954-242-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13504 NE 21ST CT",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331811866",
            "telephone_number": "954-242-2375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7601 E Treasure Dr # Cu9",
            "address_purpose": "LOCATION",
            "city": "North Bay Village",
            "state": "FL",
            "postal_code": "331414391",
            "country_code": "US",
            "telephone_number": "954-242-2375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAVIRIA",
        "first_name": "FANNY",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-63008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in North Miami, FL
• Providers in North Miami, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.