Individual provider Active NPI

Ashley Elisa Engroba

  • Behavior Technician
  • Palm Harbor, FL
National Provider Identifier
1922641455
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
103251600 Issued in FL
Practice address
31790 US 19 N Apt 206
Palm Harbor, FL 34684-3736
Phone
(786) 287-5558
NPI assigned
Oct 28, 2019
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 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 103251600 FL Primary

Addresses

Primary practice location

31790 US 19 N Apt 206
Palm Harbor, FL 34684-3736

Mailing address

31790 US 19 N Apt 206
Palm Harbor, FL 34684-3736
Phone (786) 287-5558

Other practice location 1

1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108
Phone (844) 854-1116

Other practice location 2

1414 NW 107th Ave Ste 301
Sweetwater, FL 33172-2742
Phone (786) 860-5161

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
103251600FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1922641455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31790 US 19 N APT 206",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843736",
            "telephone_number": "786-287-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31790 US 19 N APT 206",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843736",
            "telephone_number": "786-287-5558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 S Douglas Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331344108",
            "country_code": "US",
            "telephone_number": "844-854-1116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1414 NW 107th Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Sweetwater",
            "state": "FL",
            "postal_code": "331722742",
            "country_code": "US",
            "telephone_number": "786-860-5161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGROBA",
        "first_name": "ASHLEY",
        "middle_name": "ELISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "103251600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.