Active NPI
Layde Tarano Calvo
- Behavior Technician
- Lehigh Acres, FL
National Provider Identifier
1316607989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 584257
- Practice address
- 20 Jackson Ave
Lehigh Acres, FL 33936-1826 - Phone
- (786) 738-3472
- NPI assigned
- Dec 23, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 584257 | FL | Primary |
Addresses
Primary practice location
20 Jackson Ave
Lehigh Acres, FL 33936-1826
Mailing address
20 Jackson Ave
Lehigh Acres, FL 33936-1826
Phone (786) 738-3472
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106673800 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 584257 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640217600000",
"number": "1316607989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 JACKSON AVE",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339361826",
"telephone_number": "786-738-3472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 JACKSON AVE",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339361826",
"telephone_number": "786-738-3472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARANO CALVO",
"first_name": "LAYDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-23",
"last_updated": "2021-12-23",
"certification_date": "2021-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "FL",
"license": "584257",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106673800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.