Individual provider Active NPI

Liz Esther Guerra Garcia

  • Behavior Technician
  • Hialeah, FL
National Provider Identifier
1417734369
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23297404 Issued in FL
Practice address
19040 NW 57TH Ave Apt 204
Hialeah, FL 33015-5077
Phone
(786) 469-9539
NPI assigned
Sep 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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 RBT-23297404 FL Primary

Addresses

Primary practice location

19040 NW 57TH Ave Apt 204
Hialeah, FL 33015-5077

Mailing address

19040 NW 57TH Ave Apt 204
Hialeah, FL 33015-5077
Phone (786) 469-9539

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
RBT-23297404FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1417734369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19040 NW 57TH AVE APT 204",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155077",
            "telephone_number": "786-469-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19040 NW 57TH AVE APT 204",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155077",
            "telephone_number": "786-469-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA GARCIA",
        "first_name": "LIZ",
        "middle_name": "ESTHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23297404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.