Individual provider Active NPI

Geysy Herrera Santiago, BACB 1049856

  • Behavior Technician
  • Port Saint Lucie, FL
National Provider Identifier
1649160086
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
9975 S US Highway 1 Apt 309
Port Saint Lucie, FL 34952-5670
Phone
(786) 708-0974
NPI assigned
Jul 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Technician 106S00000X FL Primary

Addresses

Primary practice location

9975 S US Highway 1 Apt 309
Port Saint Lucie, FL 34952-5670

Mailing address

2500 N Military TRL Ste 304
Boca Raton, FL 33431-6324
Phone (772) 362-9878

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 Jul 13, 2025 Accepting new patients

Locations

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

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": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1649160086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N MILITARY TRL STE 304",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316324",
            "telephone_number": "772-362-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9975 S US HIGHWAY 1 APT 309",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349525670",
            "telephone_number": "786-708-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA SANTIAGO",
        "first_name": "GEYSY",
        "credential": "BACB 1049856",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.