Individual provider Active NPI

Oleidys Hernandez Galvez

  • Behavior Technician
  • Tampa, FL
National Provider Identifier
1972474005
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
25-472138 Issued in FL
Practice address
12405 Pony CT
Tampa, FL 33626-4411
Phone
(813) 340-6733
NPI assigned
Sep 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 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 25-472138 FL Primary

Addresses

Primary practice location

12405 Pony CT
Tampa, FL 33626-4411

Mailing address

12405 Pony CT
Tampa, FL 33626-4411
Phone (813) 340-6733

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
25-472138FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1972474005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12405 PONY CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336264411",
            "telephone_number": "813-340-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12405 PONY CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336264411",
            "telephone_number": "813-340-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ GALVEZ",
        "first_name": "OLEIDYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "25-472138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.