Active NPI
Guesla Ngueneba
- Behavior Technician
- Land O Lakes, FL
National Provider Identifier
1396099545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 10123 Landport Way
Land O Lakes, FL 34638-6962 - Phone
- (727) 853-5153
- NPI assigned
- Nov 8, 2012
- Sex
- Female
- Sole proprietor
- No
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 | FL | Primary |
Addresses
Primary practice location
10123 Landport Way
Land O Lakes, FL 34638-6962
Mailing address
10123 Landport Way
Land O Lakes, FL 34638-6962
Phone (727) 853-5153
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000578 | Medicaid | FL |
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": "1352332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510185600000",
"number": "1396099545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10123 LANDPORT WAY",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346386962",
"telephone_number": "727-853-5153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10123 LANDPORT WAY",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346386962",
"telephone_number": "727-853-5153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUENEBA",
"first_name": "GUESLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-08",
"last_updated": "2017-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000578",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Land O Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.