Individual provider Active NPI

Nestor Botta Gonzalez

  • Behavior Technician
  • Fort Myers, FL
National Provider Identifier
1346132115
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-443139 Issued in FL
Practice address
7691 Georgian Bay Cir Apt 112
Fort Myers, FL 33912-5611
Phone
(561) 436-0623
NPI assigned
Jul 16, 2025
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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-25-443139 FL Primary

Addresses

Primary practice location

7691 Georgian Bay Cir Apt 112
Fort Myers, FL 33912-5611

Mailing address

7691 Georgian Bay Cir Apt 112
Fort Myers, FL 33912-5611
Phone (561) 436-0623

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-25-443139FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1346132115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7691 GEORGIAN BAY CIR APT 112",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339125611",
            "telephone_number": "561-436-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7691 GEORGIAN BAY CIR APT 112",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339125611",
            "telephone_number": "561-436-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTA GONZALEZ",
        "first_name": "NESTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-25-443139",
            "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 Jul 16, 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.