Active NPI
Gamaliel Delarosa, RBT
- Behavior Technician
- West Park, FL
National Provider Identifier
1609492255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4400 SW 39TH St
West Park, FL 33023-6214 - Phone
- (305) 904-0672
- NPI assigned
- Jun 19, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Technician | 106S00000X | FL | Primary |
Addresses
Primary practice location
4400 SW 39TH St
West Park, FL 33023-6214
Mailing address
4400 SW 39TH St
West Park, FL 33023-6214
Phone (305) 904-0672
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019346000 | Medicaid | FL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1609492255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4400 SW 39TH ST",
"city": "WEST PARK",
"state": "FL",
"postal_code": "330236214",
"telephone_number": "305-904-0672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 SW 39TH ST",
"city": "WEST PARK",
"state": "FL",
"postal_code": "330236214",
"telephone_number": "305-904-0672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELAROSA",
"first_name": "GAMALIEL",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-19",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019346000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.