Active NPI
Gillie Johanna Acosta-Rivera
- Behavior Analyst
- Tampa, FL
National Provider Identifier
1437696457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-36293
- Practice address
- 1413 Tech Blvd Ste 122
Tampa, FL 33619-7822 - Phone
- (855) 832-6727
- Fax
- (772) 675-9100
- NPI assigned
- Jan 28, 2017
- Last updated
- Jan 6, 2021
- 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 Analyst | 103K00000X | 1-19-36293 | Primary |
Addresses
Primary practice location
1413 Tech Blvd Ste 122
Tampa, FL 33619-7822
Mailing address
267 Lake Davenport Cir
Davenport, FL 33837-7527
Phone (407) 952-8880
Other practice location 1
267 Lake Davenport Cir
Davenport, FL 33837-7527
Phone (407) 952-8880
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beha.Vio Inc | Behavior Analyst | Current | Accepting new patients |
| Beha.Vio | Behavior Analyst | Current | Accepting new patients |
| Alternative Behavioral Concepts, Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adolescent and Children Mental Health Clinic/Center
- Davenport, FL
- NPI 1528672961
Behavior Analyst
-
- Adolescent and Children Mental Health Clinic/Center
- Winter Haven, FL
- NPI 1255224887
Behavior Analyst
-
- Community/Behavioral Health Agency
- Auburndale, FL
- NPI 1093952921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1437696457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 LAKE DAVENPORT CIR",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338377527",
"telephone_number": "407-952-8880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1413 TECH BLVD STE 122",
"city": "TAMPA",
"state": "FL",
"postal_code": "336197822",
"telephone_number": "855-832-6727",
"fax_number": "772-675-9100"
}
],
"practiceLocations": [
{
"address_1": "267 Lake Davenport Cir",
"address_purpose": "LOCATION",
"city": "Davenport",
"state": "FL",
"postal_code": "338377527",
"country_code": "US",
"telephone_number": "407-952-8880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ACOSTA-RIVERA",
"first_name": "GILLIE",
"middle_name": "JOHANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-28",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-19-36293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.