Active NPI
Domonique Dasilva
- Behavior Technician
- Orlando, FL
National Provider Identifier
1376409599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-25-488592
- Practice address
- 14728 Royal Poinciana Dr
Orlando, FL 32828-7329 - Phone
- (407) 416-0810
- NPI assigned
- Dec 31, 2025
- Sex
- Male
- 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 | RBT-25-488592 | FL | Primary |
Addresses
Primary practice location
14728 Royal Poinciana Dr
Orlando, FL 32828-7329
Mailing address
14728 Royal Poinciana Dr
Orlando, FL 32828-7329
Phone (407) 416-0810
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | contact@equipbehavioralservices.com |
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 |
|---|---|---|---|
| RBT-25-488592 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Equip Behavioral Services | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Orlando, FL
- NPI 1942651492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767139200000",
"number": "1376409599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14728 ROYAL POINCIANA DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328287329",
"telephone_number": "407-416-0810",
"fax_number": "855-734-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14728 ROYAL POINCIANA DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328287329",
"telephone_number": "407-416-0810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DASILVA",
"first_name": "DOMONIQUE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-12-31",
"last_updated": "2025-12-31",
"certification_date": "2025-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-25-488592",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "contact@equipbehavioralservices.com",
"affiliation": "N",
"address_1": "14728 Royal Poinciana Dr",
"city": "Orlando",
"state": "FL",
"country_code": "US",
"postal_code": "328287329",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.