Active NPI
Athena Tsiatsios
- Behavior Technician
- Fort Myers, FL
National Provider Identifier
1649943531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 8359 Beacon Blvd Ste 416
Fort Myers, FL 33907-3065 - Phone
- (786) 224-4525
- NPI assigned
- Jul 27, 2021
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
8359 Beacon Blvd Ste 416
Fort Myers, FL 33907-3065
Mailing address
338 Bradley Ave
Lehigh Acres, FL 33974-4805
Other practice location 1
338 Bradley Ave
Lehigh Acres, FL 33974-4805
Phone (603) 943-6265
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": "1627344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1649943531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 BRADLEY AVE",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339744805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8359 BEACON BLVD STE 416",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339073065",
"telephone_number": "786-224-4525"
}
],
"practiceLocations": [
{
"address_1": "338 Bradley Ave",
"address_purpose": "LOCATION",
"city": "Lehigh Acres",
"state": "FL",
"postal_code": "339744805",
"country_code": "US",
"telephone_number": "603-943-6265",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TSIATSIOS",
"first_name": "ATHENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-27",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.