Individual provider Active NPI

Thea Jhem Prado Dakila

  • Behavior Technician
  • Orlando, FL
National Provider Identifier
1386415792
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
730 Sand Lake Rd Ste 176
Orlando, FL 32809-7747
Phone
(407) 412-6114
NPI assigned
Jan 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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 FL Primary

Addresses

Primary practice location

730 Sand Lake Rd Ste 176
Orlando, FL 32809-7747

Mailing address

7901 Shoals Dr Unit 7901
Orlando, FL 32817-1014
Phone (941) 224-7648

Other practice location 1

730 Sand Lake Rd Ste 128
Orlando, FL 32809-7747
Phone (407) 214-5539

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

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1386415792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 SHOALS DR UNIT 7901",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328171014",
            "telephone_number": "941-224-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 SAND LAKE RD STE 176",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097747",
            "telephone_number": "407-412-6114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Sand Lake Rd Ste 128",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328097747",
            "country_code": "US",
            "telephone_number": "407-214-5539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAKILA",
        "first_name": "THEA JHEM",
        "middle_name": "PRADO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 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.