Individual provider Active NPI

Marbelys Anaya

  • Behavior Technician
  • North Fort Myers, FL
National Provider Identifier
1912425828
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
3351 Marinatown LN Ste 200
North Fort Myers, FL 33903-7000
Phone
(239) 257-1088
NPI assigned
Aug 31, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

3351 Marinatown LN Ste 200
North Fort Myers, FL 33903-7000

Mailing address

3311 28TH St SW
Lehigh Acres, FL 33976-3954
Phone (239) 295-1404

Other practice location 1

10700 Caribbean Blvd Ste 205
Cutler Bay, FL 33189-1230
Phone (783) 738-6468

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": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1912425828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 28TH ST SW",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339763954",
            "telephone_number": "239-295-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 MARINATOWN LN STE 200",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339037000",
            "telephone_number": "239-257-1088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10700 Caribbean Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Cutler Bay",
            "state": "FL",
            "postal_code": "331891230",
            "country_code": "US",
            "telephone_number": "783-738-6468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANAYA",
        "first_name": "MARBELYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.