Individual provider Active NPI

Gabriella R Clementel, RBT

  • Behavior Technician
  • Riverview, FL
National Provider Identifier
1841867397
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
10014 Park Place Ave
Riverview, FL 33578-5303
Phone
(813) 515-6323
NPI assigned
Jun 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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 Primary

Addresses

Primary practice location

10014 Park Place Ave
Riverview, FL 33578-5303

Mailing address

10014 Park Place Ave
Riverview, FL 33578-5303
Phone (813) 515-6323

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dshaw@abaoftampabay.com Direct

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": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1841867397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10014 PARK PLACE AVE",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785303",
            "telephone_number": "813-515-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10014 PARK PLACE AVE",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785303",
            "telephone_number": "813-515-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTEL",
        "first_name": "GABRIELLA",
        "middle_name": "R",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dshaw@abaoftampabay.com",
            "affiliation": "N",
            "endpointDescription": "Employer Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10014 Park Place Ave",
            "city": "Riverview",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335785303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.