Individual provider Active NPI

Roxana Puertas Ortega

  • Behavior Technician
  • Lehigh Acres, FL
National Provider Identifier
1629831557
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-317485 Issued in FL
Practice address
3217 15TH St SW
Lehigh Acres, FL 33976-2921
Phone
(239) 309-4901
NPI assigned
Feb 2, 2024
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 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 RBT-23-317485 FL Primary

Addresses

Primary practice location

3217 15TH St SW
Lehigh Acres, FL 33976-2921

Mailing address

3217 15TH St SW
Lehigh Acres, FL 33976-2921
Phone (239) 309-4901

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-23-317485FLMDBehavior Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1629831557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 15TH ST SW",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339762921",
            "telephone_number": "239-309-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 15TH ST SW",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339762921",
            "telephone_number": "239-309-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUERTAS ORTEGA",
        "first_name": "ROXANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-02",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-317485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.