Individual provider Active NPI

Magda Hejazimanesh, RBT

  • Behavior Technician
  • Fort Myers, FL
National Provider Identifier
1285305441
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-1221109 Issued in FL
Practice address
11063 Canopy Loop
Fort Myers, FL 33913-7571
Phone
(786) 423-0659
Fax
(786) 279-0915
NPI assigned
Sep 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-1221109 FL Primary

Addresses

Primary practice location

11063 Canopy Loop
Fort Myers, FL 33913-7571

Mailing address

11063 Canopy Loop
Fort Myers, FL 33913-7571
Phone (786) 423-0659

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

LicenseStateTypeSpecialty
RBT-20-1221109FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Acme Care and Services, Inc. PastSince Oct 5, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1285305441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11063 CANOPY LOOP",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339137571",
            "telephone_number": "786-423-0659",
            "fax_number": "786-279-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11063 CANOPY LOOP",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339137571",
            "telephone_number": "786-423-0659",
            "fax_number": "786-279-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEJAZIMANESH",
        "first_name": "MAGDA",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-1221109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.

Verify at the official NPI Registry.