Organization Active NPI

Shalam Ruslan Orlando Southwest LLC

  • Behavior Technician
  • Winter Garden, FL
National Provider Identifier
1295602159
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
SHALAM RUSLAN ORLANDO SOUTHWEST LLC
Practice address
13848 Tilden Rd
Winter Garden, FL 34787-5326
Phone
(321) 351-7500
NPI assigned
Oct 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Ms. Amanda Gunter
Title
Owner
Phone
(321) 351-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

13848 Tilden Rd
Winter Garden, FL 34787-5326

Mailing address

13848 Tilden Rd
Winter Garden, FL 34787-5326
Phone (321) 351-7500

National Provider Directory

National Provider Directory

Locations

13848 Tilden Rd
Winter Garden, FL 34787
Phone (321) 351-7500

NPI Registry JSON

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1295602159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13848 TILDEN RD",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875326",
            "telephone_number": "321-351-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13848 TILDEN RD",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875326",
            "telephone_number": "321-351-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALAM RUSLAN ORLANDO SOUTHWEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-23",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "GUNTER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-351-7500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.