Organization Active NPI

Gulf Coast Children Therapies LLC

  • Behavior Analyst
  • Cape Coral, FL
National Provider Identifier
1972307122
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GULF COAST CHILDREN THERAPIES LLC
Practice address
2104 NE 1St Ave
Cape Coral, FL 33909-4226
Phone
(305) 527-5636
NPI assigned
Apr 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yenibet Hernandez BetancourtNPI 1013685288
Title
Owner
Phone
(305) 527-5636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2104 NE 1St Ave
Cape Coral, FL 33909-4226

Mailing address

3949 Evans Ave Ste 401B
Fort Myers, FL 33901-9345
Phone (305) 527-5636

National Provider Directory

National Provider Directory

Locations

3949 Evans Ave
Ste 401B
Fort Myers, FL 33901

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1972307122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 EVANS AVE STE 401B",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019345",
            "telephone_number": "305-527-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 NE 1ST AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339094226",
            "telephone_number": "305-527-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST CHILDREN THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ BETANCOURT",
        "authorized_official_first_name": "YENIBET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-527-5636"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.