Faisal Eltayeb Elsirag

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

500 Health Blvd Ste 200
Daytona Beach, FL 32114-1559

Phone

(386) 267-3161

NPI assigned

Oct 21, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1831910074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HEALTH BLVD STE 200",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141559",
            "telephone_number": "386-267-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HEALTH BLVD STE 200",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141559",
            "telephone_number": "386-267-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSIRAG",
        "first_name": "FAISAL",
        "middle_name": "ELTAYEB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheyenne Ellis
• Lisa Ellis, LMHC
• Stephanie Roshonn Ellis
• Symone Ayana Ellis
• Eloisa G. Dimayuga, MD PA
• Donna Lynn Elsner, MA, RMHCI
• Basheer Elsolh, MD MPH FRCSC
• Dustin Steele Elswick, MD
• Iviona Elzie
• Embridge Counseling Services

• Behavior Technician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.