Individual provider Active NPI

Raydalis De la Victores Garcia

  • Behavior Technician
  • West Palm Beach, FL
National Provider Identifier
1851197230
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-414409 Issued in FL
Practice address
500 S Australian Ave Ste 600
West Palm Beach, FL 33401-6237
Phone
(877) 857-8517
NPI assigned
Feb 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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 RBT-25-414409 FL Primary

Addresses

Primary practice location

500 S Australian Ave Ste 600
West Palm Beach, FL 33401-6237

Mailing address

2352 Schall Cir
West Palm Beach, FL 33417-3002
Phone (561) 420-5729

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
RBT-25-414409FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1851197230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2352 SCHALL CIR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334173002",
            "telephone_number": "561-420-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S AUSTRALIAN AVE STE 600",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016237",
            "telephone_number": "877-857-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTORES GARCIA",
        "first_name": "RAYDALIS",
        "middle_name": "DE LA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-25-414409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.