Crystal Taisha Geffrard

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3880 Colonial Blvd Ste 2
Fort Myers, FL 33966-1062

Phone

(239) 351-3715

Fax

(239) 310-2046

NPI assigned

Apr 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Stepping Stone Kids Therapy LLC

  • Behavior Analyst
  • Fort Myers, FL
  • NPI 1255000311
  NPD
• Smart Endeavors Therapy Services, LLC.

  • Speech-Language Pathologist
  • Fort Myers, FL
  • NPI 1356093777
  NPD (past)

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1376286716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 CYPRESS GARDENS LOOP UNIT 7304",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339667077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 COLONIAL BLVD STE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661062",
            "telephone_number": "239-351-3715",
            "fax_number": "239-310-2046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5050 Tamiami Trl N Ste B",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341032853",
            "country_code": "US",
            "telephone_number": "239-351-4787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1210 SE 46th Ln",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339048601",
            "country_code": "US",
            "telephone_number": "239-268-8707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEFFRARD",
        "first_name": "CRYSTAL",
        "middle_name": "TAISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-10-10",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113749000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gear, Oakes-Lottridge, Scheel and Hamm Dentistry Partnership (Caloosa Dental)
• Robert Dale Gear Jr., DMD, MD
• Robert Dale Gear Sr., D.D.S.
• Sarah Michelle Geary
• Gee Bee LLC (Evolve ABA Therapy)
• Christine M Gegeckas, RPH, BCOP
• Kate Geist, B.A.,CAP
• Jacqueline Marie Gelardi, LMHC
• Scott L Geller, M.D.,P.A.
• Lynn Mary Gellerman, ARNP

• Behavior Technician in Fort Myers, FL
• Providers in Fort Myers, 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 10, 2022; 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.