Elaine Victor, BEHAVIORAL TECH

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-289853 Issued in FL

Practice address

701 W Livingston St
Orlando, FL 32805-1535

Phone

(888) 900-7779

NPI assigned

Jun 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Art of Behavior Analysis, Inc.

  • Behavior Analyst
  • Doral, FL
  • NPI 1720631195
  NPD

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1346933603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 NW 25TH ST STE 204",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331725922",
            "telephone_number": "888-900-7779",
            "fax_number": "786-441-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W LIVINGSTON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328051535",
            "telephone_number": "888-900-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTOR",
        "first_name": "ELAINE",
        "credential": "BEHAVIORAL TECH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-289853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Marlo Boucher Vickers, NCC, CRC, LMHC
• Odessa Lee Vickery-Merrigan
• Christian Pocholo Vicmudo
• Victor N. Alvarado MD 'LLC'
• Noelle Ruth Victor-Nicolas
• Adriana Victoria
• Natalie Victoria
• Victorious Living Counseling and Consulting LLC
• Victory Wound Care Solutions LLC
• Vida Health Centre LLC

• Behavior Technician in Orlando, FL
• Providers in Orlando, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.