Individual provider Active NPI

Alexa Faliyah Gilles

  • Behavior Technician
  • Hollywood, FL
National Provider Identifier
1487475695
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-376730 Issued in FL
Practice address
3900 Hollywood Blvd Ste Phe
Hollywood, FL 33021-6760
Phone
(954) 822-4175
NPI assigned
Oct 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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-24-376730 FL Primary

Addresses

Primary practice location

3900 Hollywood Blvd Ste Phe
Hollywood, FL 33021-6760

Mailing address

937 SW 104TH Way
Pembroke Pines, FL 33025-3580
Phone (754) 231-6989

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-24-376730FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Behavioral & Health Consultants Inc CurrentSince Oct 27, 2024 Accepting new patients

Locations

3900 Hollywood Blvd
Ste Phe
Hollywood, FL 33021
Phone (954) 296-6633

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": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1487475695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 SW 104TH WAY",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330253580",
            "telephone_number": "754-231-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 HOLLYWOOD BLVD STE PHE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216760",
            "telephone_number": "954-822-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLES",
        "first_name": "ALEXA",
        "middle_name": "FALIYAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-376730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.