Active NPI
Claudia Etchegoyen
- Assistant Behavior Analyst
- Delray Beach, FL
National Provider Identifier
1306354204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0-23-14960
- Practice address
- 5180 W Atlantic Ave Ste 114
Delray Beach, FL 33484-8103 - Phone
- (617) 470-9827
- NPI assigned
- Jan 14, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Assistant Behavior Analyst | 106E00000X | 0-23-14960 | FL | Primary |
Addresses
Primary practice location
5180 W Atlantic Ave Ste 114
Delray Beach, FL 33484-8103
Mailing address
271 Bonnie Blvd Apt 121
Palm Springs, FL 33461-1348
Phone (561) 403-9565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222Q00000X | Medicaid | FL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chrysalis ABA Therapy Corp | 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 and National Provider Directory roles.
-
- Behavior Analyst
- Delray Beach, FL
- NPI 1760838015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1306354204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 BONNIE BLVD APT 121",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334611348",
"telephone_number": "561-403-9565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5180 W ATLANTIC AVE STE 114",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334848103",
"telephone_number": "617-470-9827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETCHEGOYEN",
"first_name": "CLAUDIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-14",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": "0-23-14960",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "222Q00000X",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.