Active NPI
Gabriela Katherine Thebeau
- Behavior Technician
- Margate, FL
National Provider Identifier
1407674021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-381209
- Practice address
- 5100 W Copans Rd
Margate, FL 33063-7747 - Phone
- (954) 825-3317
- NPI assigned
- Oct 2, 2024
- Last updated
- Oct 2, 2024
- Sex
- Female
- 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-24-381209 | FL | Primary |
Addresses
Primary practice location
5100 W Copans Rd
Margate, FL 33063-7747
Mailing address
2628 SW 30TH Ter
Fort Lauderdale, FL 33312-4732
Phone (954) 914-9381
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-24-381209 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1407674021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2628 SW 30TH TER",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333124732",
"telephone_number": "954-914-9381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 W COPANS RD",
"city": "MARGATE",
"state": "FL",
"postal_code": "330637747",
"telephone_number": "954-825-3317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEBEAU",
"first_name": "GABRIELA",
"middle_name": "KATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-02",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-24-381209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Margate, FL
- Carmen Hortencia Texaj, CNA
- The Broward Heart Group PA
- The Luminous Care LLC
- The Rheumatology and Immunology Alliance, P.a.
- The Snyder Foundation Inc (First Circle Medical Center)
- Sacha Anna Gabriella Thelusma
- Akeelah Olivia Theophilus
- Therapy in Motionz PLLC
- Therapy With a Purpose LLC
- Sarilia Therildor, ARNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.