Eduardo Octavio Guzman-Rugama
Individual provider Active NPI Behavior Technician · Deerfield BCH, FL
NPI 1487422663 · NPPES record last updated May 6, 2025
Key facts
- NPI
- 1487422663
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-23-315660 (FL)
- Practice address
- 350 Fairway Dr Ste 101
Deerfield BCH, FL 33441-1834 - Phone
- (877) 418-2978
- Fax
- (866) 500-2186
- NPI assigned
- Dec 18, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-315660 | FL | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-315660 | FL | Yes |
Addresses
Primary practice location
350 Fairway Dr Ste 101
Deerfield BCH, FL 33441-1834
Mailing address
350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834
Phone (877) 418-2978
Other practice location 1
850 NW Federal Hwy Ste 173
Stuart, FL 34994-1019
Phone (786) 206-6500
Other providers in Deerfield BCH, FL
- Tina Gray
- Nia Green
- Amanda Leigh Gregory
- Ashley Grier
- Nicol Janet Guerrero Ruiz
- Frank E Hernandez Rodriguez
- Erika Rubenia Hernandez
- Kassandra Mackenzie Hernandez
- Samantha Hernandez
- Kenneth Ray Hill Jr.
All providers in Deerfield BCH, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.