Active NPI
Angiala Mia Guilmette
- Behavior Technician
- Fair Bluff, NC
National Provider Identifier
1316524416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2032 Carl Meares Rd
Fair Bluff, NC 28439-9787 - Phone
- (813) 763-5469
- NPI assigned
- Mar 25, 2021
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
2032 Carl Meares Rd
Fair Bluff, NC 28439-9787
Mailing address
2032 Carl Meares Rd
Fair Bluff, NC 28439-9787
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kristin@srbehaviorconsultants.org | ||
| Direct Messaging Address | kristin@srbehaviorconsultants.org |
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 |
|---|---|---|---|
| Sr Plus Behavior Consultants, 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.
-
- Behavior Analyst
- Little River, SC
- NPI 1992254882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1316524416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2032 CARL MEARES RD",
"city": "FAIR BLUFF",
"state": "NC",
"postal_code": "284399787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2032 CARL MEARES RD",
"city": "FAIR BLUFF",
"state": "NC",
"postal_code": "284399787",
"telephone_number": "813-763-5469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILMETTE",
"first_name": "ANGIALA",
"middle_name": "MIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-25",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kristin@srbehaviorconsultants.org",
"affiliation": "N",
"address_1": "2032 Carl Meares Rd",
"city": "Fair Bluff",
"state": "NC",
"country_code": "US",
"postal_code": "284399787",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kristin@srbehaviorconsultants.org",
"affiliation": "N",
"address_1": "2032 Carl Meares Rd",
"city": "Fair Bluff",
"state": "NC",
"country_code": "US",
"postal_code": "284399787",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fair Bluff, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.