Individual provider Active NPI

Eleanys Guillen Garcia

  • Behavior Technician
  • Palm Springs, FL
National Provider Identifier
1942053889
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-333602 Issued in FL
Practice address
2769 10TH Ave N Apt 305
Palm Springs, FL 33461-6758
Phone
(561) 759-0407
NPI assigned
Apr 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 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 RBT-24-333602 FL Primary

Addresses

Primary practice location

2769 10TH Ave N Apt 305
Palm Springs, FL 33461-6758

Mailing address

2769 10TH Ave N Apt 305
Palm Springs, FL 33461-6758
Phone (561) 759-0407

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-24-333602FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1942053889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2769 10TH AVE N APT 305",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334616758",
            "telephone_number": "561-759-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2769 10TH AVE N APT 305",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334616758",
            "telephone_number": "561-759-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLEN GARCIA",
        "first_name": "ELEANYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-333602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.