Elisa Catherine Gwilliam

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

23316713 Issued in FL

Practice address

3404 Davie Rd Apt 215
Davie, FL 33314-1628

Phone

(305) 300-9796

NPI assigned

Mar 28, 2024

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 and National Provider Directory roles.

• ABA Autism Therapy of Florida LLC

  • Community/Behavioral Health Agency
  • Fort Lauderdale, FL
  • NPI 1326817701
  NPD Authorized official

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1982455895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 DAVIE RD APT 215",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333141628",
            "telephone_number": "305-300-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 DAVIE RD APT 215",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333141628",
            "telephone_number": "305-300-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWILLIAM",
        "first_name": "ELISA",
        "middle_name": "CATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "23316713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel E Guzman, PTA
• Kayla Guzman
• Maria Guzman
• Marta Guzman
• Yvette Guzman, M.D.
• Carolina Hackmeyer, PT
• Farzanna Sherene Haffizulla, M.D.
• Haitiasn American Research Company
• Judith Hakiel-Calcaterra, IMH
• Ashley Hall

• Behavior Technician in Davie, FL
• Providers in Davie, FL by specialty
• Behavior Technician in Florida

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