Giselle Vega Puch, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-221546 Issued in FL

Practice address

1500 Colonial Blvd Ste 208
Fort Myers, FL 33907-1025

Phone

(239) 260-4218

Fax

(239) 900-1283

NPI assigned

Sep 26, 2022

Last updated

Sep 26, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evolve Behavior Therapy Services LLC

  • Behavior Analyst
  • Fort Myers, FL
  • NPI 1740955210

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1922721752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 SE 23RD PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901959",
            "telephone_number": "786-715-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 COLONIAL BLVD STE 208",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071025",
            "telephone_number": "239-260-4218",
            "fax_number": "239-900-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA PUCH",
        "first_name": "GISELLE",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-22-221546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francisco Maximo Vazquez, M.D.
• Gabriella Rose Vazquez
• Tatiana Vazquez
• Nereyda C Vega Alfonso
• Claudia Vega Montero
• Denise Vega, LMT
• Gabrielle Vega, RBT
• Julie P Vega, ARNP
• Vein Specialists at Royal Palm Square Inc
• Isabel Velasquez, PSYD

• Behavior Technician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.