Individual provider Active NPI

Beatriz A Garcia Moreno

  • Behavior Technician
  • Boca Raton, FL
National Provider Identifier
1548082472
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2500 N Military TRL Ste 304
Boca Raton, FL 33431-6324
Phone
(772) 362-9878
Fax
(772) 362-9879
NPI assigned
Oct 30, 2024
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 Technician 106S00000X FL Primary

Addresses

Primary practice location

2500 N Military TRL Ste 304
Boca Raton, FL 33431-6324

Mailing address

1766 SW Brisbane St
Port St Lucie, FL 34984-3517
Phone (754) 273-1247

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

OrganizationSpecialtyStatusNew patients
Weevolve, LLC CurrentSince Feb 9, 2025 Accepting new patients

Locations

2500 N Military Trl
Ste 304
Boca Raton, FL 33431
Phone (561) 421-5111

850 NW US Highway 1
Stuart, FL 34994
Phone (772) 362-9878

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": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1548082472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1766 SW BRISBANE ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349843517",
            "telephone_number": "754-273-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N MILITARY TRL STE 304",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316324",
            "telephone_number": "772-362-9878",
            "fax_number": "772-362-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA MORENO",
        "first_name": "BEATRIZ",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, 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.