Individual provider Active NPI

Gleanyelisse Cotto

  • Behavior Technician
  • Davenport, FL
National Provider Identifier
1649956384
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-278702 Issued in FL
Practice address
1141 Champions Ridge Cir Apt 203
Davenport, FL 33896-7179
Phone
(407) 729-3847
NPI assigned
Jun 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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-23-278702 FL Primary

Addresses

Primary practice location

1141 Champions Ridge Cir Apt 203
Davenport, FL 33896-7179

Mailing address

1141 Champions Ridge Cir Apt 203
Davenport, FL 33896-7179
Phone (407) 729-3847

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-23-278702FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1649956384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 CHAMPIONS RIDGE CIR APT 203",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338967179",
            "telephone_number": "407-729-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 CHAMPIONS RIDGE CIR APT 203",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338967179",
            "telephone_number": "407-729-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTO",
        "first_name": "GLEANYELISSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-278702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.