Active NPI
Mariam Girgis
- Behavior Analyst
- Eustis, FL
National Provider Identifier
1700351996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-64567
- Practice address
- 6 N Eustis St
Eustis, FL 32726-3408 - Phone
- (321) 276-5054
- NPI assigned
- Oct 4, 2018
- 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 Analyst | 103K00000X | 1-23-64567 | FL | Primary |
Addresses
Primary practice location
6 N Eustis St
Eustis, FL 32726-3408
Mailing address
1744 Grand Rue Dr
Casselberry, FL 32707-2400
Other practice location 1
1744 Grand Rue Dr
Casselberry, FL 32707-2400
Phone (407) 404-3526
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": "1538611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1700351996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1744 GRAND RUE DR",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327072400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 N EUSTIS ST",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327263408",
"telephone_number": "321-276-5054"
}
],
"practiceLocations": [
{
"address_1": "1744 Grand Rue Dr",
"address_purpose": "LOCATION",
"city": "Casselberry",
"state": "FL",
"postal_code": "327072400",
"country_code": "US",
"telephone_number": "407-404-3526",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIRGIS",
"first_name": "MARIAM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-04",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-23-64567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eustis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.