Active NPI
Aylen Cobo Montalvan
- Behavior Technician
- Gibsonton, FL
National Provider Identifier
1700655107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- C155000906060
- Practice address
- 9904 Ethel St
Gibsonton, FL 33534-4217 - Phone
- (813) 408-2769
- NPI assigned
- Dec 27, 2023
- 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 | C155000906060 | FL | Primary |
Addresses
Primary practice location
9904 Ethel St
Gibsonton, FL 33534-4217
Mailing address
9904 Ethel St
Gibsonton, FL 33534-4217
Phone (813) 408-2769
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
| License | State | Type | Specialty |
|---|---|---|---|
| C155000906060 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Llopis Behavioral Services LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Tampa, FL
- NPI 1730802281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1700655107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9904 ETHEL ST",
"city": "GIBSONTON",
"state": "FL",
"postal_code": "335344217",
"telephone_number": "813-408-2769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9904 ETHEL ST",
"city": "GIBSONTON",
"state": "FL",
"postal_code": "335344217",
"telephone_number": "813-408-2769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBO MONTALVAN",
"first_name": "AYLEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-27",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "C155000906060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gibsonton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.