Individual provider Active NPI

Melissa Diaz Leal

  • Behavior Technician
  • Orlando, FL
National Provider Identifier
1013724988
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB1173107 Issued in FL
Practice address
7212 Curry Ford Rd BLDG 3
Orlando, FL 32822-5806
Phone
(407) 574-8481
Fax
(786) 513-7805
NPI assigned
Dec 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 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 BACB1173107 FL Primary

Addresses

Primary practice location

7212 Curry Ford Rd BLDG 3
Orlando, FL 32822-5806

Mailing address

3125 Heron Lake Dr Apt F
Kissimmee, FL 34741-5248
Phone (702) 510-7875

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
BACB1173107FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Group & Associates Inc PastSince Dec 15, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1734134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1013724988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 HERON LAKE DR APT F",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415248",
            "telephone_number": "702-510-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7212 CURRY FORD RD BLDG 3",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328225806",
            "telephone_number": "407-574-8481",
            "fax_number": "786-513-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ LEAL",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-14",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB1173107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.