Individual provider Active NPI

Juan C. Cabana Tapia, RBT

  • Behavior Technician
  • Lehigh Acres, FL
National Provider Identifier
1417555376
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-125706 Issued in FL
Practice address
2519 39TH St W
Lehigh Acres, FL 33971-6849
Phone
(786) 260-4822
NPI assigned
Oct 13, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 20125706 FL
Behavior Technician 106S00000X RBT-20-125706 FL Primary

Addresses

Primary practice location

2519 39TH St W
Lehigh Acres, FL 33971-6849

Mailing address

717 Manuel St E
Lehigh Acres, FL 33974-5704
Phone (786) 260-4822

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

LicenseStateTypeSpecialty
20125706FLMDBehavioral Analyst
RBT-20-125706FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1417555376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 MANUEL ST E",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339745704",
            "telephone_number": "786-260-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 39TH ST W",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339716849",
            "telephone_number": "786-260-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABANA TAPIA",
        "first_name": "JUAN",
        "middle_name": "C.",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-13",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "20125706",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-125706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.