Active NPI
Gerda Ugartemendia
- Behavior Technician
- Orlando, FL
National Provider Identifier
1639832504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 20-126502
- Practice address
- 2805 Woodruff Dr
Orlando, FL 32837-9193 - Phone
- (305) 910-6259
- NPI assigned
- Oct 18, 2021
- Sex
- Female
- 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 | 20-126502 | FL | Primary |
Addresses
Primary practice location
2805 Woodruff Dr
Orlando, FL 32837-9193
Mailing address
2805 Woodruff Dr
Orlando, FL 32837-9193
Phone (178) 650-1991
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20-126502 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Early ABA & Academic Intervention Inc. | Past | Accepting new patients |
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.
-
- Behavior Analyst
- Orlando, FL
- NPI 1750929774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1639832504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2805 WOODRUFF DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328379193",
"telephone_number": "178-650-1991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 WOODRUFF DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328379193",
"telephone_number": "305-910-6259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UGARTEMENDIA",
"first_name": "GERDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-18",
"last_updated": "2021-10-18",
"certification_date": "2021-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "20-126502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.