Active NPI
Gabriel Mateo
- Behavior Technician
- Tampa, FL
National Provider Identifier
1518620319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 21195249
- Practice address
- 6508 Gunn Hwy
Tampa, FL 33625-4022 - Phone
- (813) 963-6923
- NPI assigned
- Oct 19, 2021
- Last updated
- Sep 6, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 Technician | 106S00000X | 21195249 | Primary |
Addresses
Primary practice location
6508 Gunn Hwy
Tampa, FL 33625-4022
Mailing address
250 NW 76TH Dr
Gainesville, FL 32607-6668
Phone (352) 505-6363
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 |
|---|---|---|---|
| Independent Living Inc. | Current | Accepting new patients | |
| Independent Living Inc. | Behavior Technician | Past | Accepting new patients |
Locations
6508 Gunn Hwy
Tampa, FL 33625
Phone (813) 963-6923
Organizations & group practices 2
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.
-
- Behavior Analyst
- Tampa, FL
- NPI 1750156519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1518620319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 NW 76TH DR",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326076668",
"telephone_number": "352-505-6363",
"fax_number": "352-505-6383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6508 GUNN HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336254022",
"telephone_number": "813-963-6923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATEO",
"first_name": "GABRIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-19",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "21195249",
"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 Sep 6, 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.