Individual provider Active NPI

Adel Elimelech

  • Behavior Technician
  • Fort Lauderdale, FL
National Provider Identifier
1780457796
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
23-291130 Issued in FL
Practice address
640 N Andrews Ave Apt 318
Fort Lauderdale, FL 33311-7662
Phone
(954) 639-2525
NPI assigned
Nov 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 23-291130 FL Primary

Addresses

Primary practice location

640 N Andrews Ave Apt 318
Fort Lauderdale, FL 33311-7662

Mailing address

640 N Andrews Ave Apt 318
Fort Lauderdale, FL 33311-7662
Phone (954) 639-2525

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
23-291130FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1780457796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 N ANDREWS AVE APT 318",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333117662",
            "telephone_number": "954-639-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 N ANDREWS AVE APT 318",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333117662",
            "telephone_number": "954-639-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIMELECH",
        "first_name": "ADEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "23-291130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.