Active NPI
Georgina Amaya
- Behavior Technician
- Lake Worth, FL
National Provider Identifier
1902504434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-259886
- Practice address
- 409 S Dixie Hwy Ste 4
Lake Worth, FL 33460-4405 - Phone
- (561) 409-3418
- NPI assigned
- Feb 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-259886 | FL | Primary |
Addresses
Primary practice location
409 S Dixie Hwy Ste 4
Lake Worth, FL 33460-4405
Mailing address
1007 Water Tower Way Apt 207
Hypoluxo, FL 33462-6202
Phone (754) 303-5523
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-259886 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gifted Kids Therapy Services, LLC | Current | Accepting new patients |
Locations
409 S Dixie Hwy
Ste 4
Lake Worth Beach, FL 33460
Phone (404) 740-8721
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Miramar, FL
- NPI 1396366217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1902504434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 WATER TOWER WAY APT 207",
"city": "HYPOLUXO",
"state": "FL",
"postal_code": "334626202",
"telephone_number": "754-303-5523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 S DIXIE HWY STE 4",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334604405",
"telephone_number": "561-409-3418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMAYA",
"first_name": "GEORGINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-23",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-23-259886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.