Individual provider Active NPI

Agnelio Artiles Nunez, BCBA

  • Behavior Analyst
  • Cape Coral, FL
National Provider Identifier
1437769023
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-24-74287 Issued in FL
Practice address
1412 NW 10TH Ave
Cape Coral, FL 33993-6009
Phone
(239) 691-7202
NPI assigned
Aug 7, 2020
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-128806 FL
Behavior Analyst 103K00000X 1-24-74287 FL Primary

Addresses

Primary practice location

1412 NW 10TH Ave
Cape Coral, FL 33993-6009

Mailing address

1412 NW 10TH Ave
Cape Coral, FL 33993-6009
Phone (239) 691-7202

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-20-128806FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Prime Services LLC CurrentSince Aug 18, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1437769023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 NW 10TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339936009",
            "telephone_number": "239-691-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 NW 10TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339936009",
            "telephone_number": "239-691-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTILES NUNEZ",
        "first_name": "AGNELIO",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-07",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-128806",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-24-74287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.