Individual provider Active NPI

Daniela Galvez Moreno

  • Behavior Analyst
  • Orlando, FL
National Provider Identifier
1700325693
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0167225 Issued in FL
Practice address
644 Ferguson Dr Ste 200
Orlando, FL 32805-1023
Phone
(407) 574-4629
Fax
(407) 574-3091
NPI assigned
Feb 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0167225 FL Primary
Assistant Behavior Analyst 106E00000X

Addresses

Primary practice location

644 Ferguson Dr Ste 200
Orlando, FL 32805-1023

Mailing address

644 Ferguson Dr Ste 200
Orlando, FL 32805-1023
Phone (407) 574-4629

Other identifiers 1

IdentifierTypeStateIssuer
023273100MedicaidFL

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
0167225FLMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1700325693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 FERGUSON DR STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328051023",
            "telephone_number": "407-574-4629",
            "fax_number": "407-574-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 FERGUSON DR STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328051023",
            "telephone_number": "407-574-4629",
            "fax_number": "407-574-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVEZ MORENO",
        "first_name": "DANIELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "0167225",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023273100",
            "state": "FL"
        }
    ],
    "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 Mar 19, 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.

Verify at the official NPI Registry.