Individual provider Active NPI

Neysha Nicole Fontanez Deynes

  • Behavior Technician
  • Fort Myers, FL
National Provider Identifier
1922708148
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-261931 Issued in FL
Practice address
17167 3 Oaks Pkwy Unit 1436
Fort Myers, FL 33967-5383
Phone
(239) 281-2199
NPI assigned
Mar 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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-23-261931 FL Primary

Addresses

Primary practice location

17167 3 Oaks Pkwy Unit 1436
Fort Myers, FL 33967-5383

Mailing address

17167 3 Oaks Pkwy Unit 1436
Fort Myers, FL 33967-5383
Phone (239) 281-2199

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-23-261931FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1922708148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17167 3 OAKS PKWY UNIT 1436",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339675383",
            "telephone_number": "239-281-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17167 3 OAKS PKWY UNIT 1436",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339675383",
            "telephone_number": "239-281-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANEZ DEYNES",
        "first_name": "NEYSHA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-261931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.