Active NPI
Fatima Garcia
- Behavior Technician
- Hialeah, FL
National Provider Identifier
1780300905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1074 W 40TH PL
Hialeah, FL 33012-4188 - Phone
- (786) 792-2497
- NPI assigned
- Oct 19, 2022
- 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 | Primary |
Addresses
Primary practice location
1074 W 40TH PL
Hialeah, FL 33012-4188
Mailing address
1074 W 40TH PL
Hialeah, FL 33012-4188
Phone (786) 792-2497
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22-224904 | Medicaid | FL | |
| RBT22-224904 | Medicaid | FL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Other | ||
| Other URL | Other | Other |
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": "1666137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1780300905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1074 W 40TH PL",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330124188",
"telephone_number": "786-792-2497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1074 W 40TH PL",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330124188",
"telephone_number": "786-792-2497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "FATIMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-19",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "22-224904",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RBT22-224904",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Other",
"affiliation": "N",
"address_1": "10261 SW 72nd St Ste 104",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331733023",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Other",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Other",
"address_1": "1074 W 40th Pl",
"city": "Hialeah",
"state": "FL",
"country_code": "US",
"postal_code": "330124188",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.