Sebastian Alexey Gellegos

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

16325 SW 288TH St
Homestead, FL 33033-1020

Phone

(305) 245-2720

NPI assigned

Oct 14, 2020

Sex

Male

Sole proprietor

No

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": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1861090532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 NW 5TH LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724067",
            "telephone_number": "305-746-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16325 SW 288TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330331020",
            "telephone_number": "305-245-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLEGOS",
        "first_name": "SEBASTIAN",
        "middle_name": "ALEXEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Homestead, FL
• Providers in Homestead, 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 14, 2020; 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.