Active NPI
Gladys Maria Otano
- Behavior Analyst
- Cutler Bay, FL
National Provider Identifier
1760947600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-52040
- Practice address
- 8085 SW 206TH Ter
Cutler Bay, FL 33189-2641 - Phone
- (786) 399-2207
- NPI assigned
- Feb 5, 2019
- 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 | 1-21-52040 | FL | Primary |
Addresses
Primary practice location
8085 SW 206TH Ter
Cutler Bay, FL 33189-2641
Mailing address
8085 SW 206TH Ter
Cutler Bay, FL 33189-2641
Phone (786) 399-2207
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022566800 | Medicaid | FL |
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": "1549324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629676800000",
"number": "1760947600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8085 SW 206TH TER",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331892641",
"telephone_number": "786-399-2207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8085 SW 206TH TER",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331892641",
"telephone_number": "786-399-2207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTANO",
"first_name": "GLADYS",
"middle_name": "MARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-05",
"last_updated": "2021-08-23",
"certification_date": "2021-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-21-52040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022566800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cutler Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.