Marlene Giaconia

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2050 W County Highway 30a Ste M1-210
Santa Rosa Beach, FL 32459-0187

Phone

(954) 632-2835

NPI assigned

Aug 20, 2024

Last updated

Aug 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prevail Behavioral Health

  • Behavior Analyst
  • Freeport, FL
  • NPI 1285398990
  NPD

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1679305387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 TIERRA VERDE WAY",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324073821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 W COUNTY HIGHWAY 30A STE M1-210",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324590187",
            "telephone_number": "954-632-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIACONIA",
        "first_name": "MARLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Garcia, PT
• Olga M. Garcia, PSY.D
• Christopher Joseph Gasho, M.D.
• Ronald Gavilan Yodu, MD
• Ryan Gegg, D.O.
• Angela Marie Gibson, PTA
• Kasey Gilliss, DC
• Gill David Gladding
• Hillary Louise Glenn, DNP, ARNP-BC
• Luis Fernando Gomez, M.D.

• Behavior Technician in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.