Individual provider Active NPI

Quincy M Tobon

  • Behavior Technician
  • Lake Worth, FL
National Provider Identifier
1467075879
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
19-80128 Issued in FL
Practice address
8208 Garden Catalina Cir Apt 1914
Lake Worth, FL 33467-6765
Phone
(561) 403-3994
NPI assigned
May 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X 19-80128 FL Primary

Addresses

Primary practice location

8208 Garden Catalina Cir Apt 1914
Lake Worth, FL 33467-6765

Mailing address

3986 W Sandpiper Dr Apt 8
Boynton Beach, FL 33436-2479
Phone (561) 781-1369

Other identifiers 1

IdentifierTypeStateIssuer
102259100MedicaidFL

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
19-80128FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Hope ABA Therapy Inc. Single Specialty CurrentSince Feb 9, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1467075879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3986 W SANDPIPER DR APT 8",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334362479",
            "telephone_number": "561-781-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8208 GARDEN CATALINA CIR APT 1914",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334676765",
            "telephone_number": "561-403-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBON",
        "first_name": "QUINCY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "19-80128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102259100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.