Individual provider Active NPI

Leisi De la Caridad Ruiz Hernandez

  • Behavior Analyst
  • Aventura, FL
National Provider Identifier
1023853884
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-2473824 Issued in FL
Practice address
20335 W Country Club Dr Apt 2407
Aventura, FL 33180-1623
Phone
(561) 247-7605
NPI assigned
Jun 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-2473824 FL Primary

Addresses

Primary practice location

20335 W Country Club Dr Apt 2407
Aventura, FL 33180-1623

Mailing address

20335 W Country Club Dr Apt 2407
Aventura, FL 33180-1623
Phone (561) 247-7605

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
1-2473824FLMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1023853884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20335 W COUNTRY CLUB DR APT 2407",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801623",
            "telephone_number": "561-247-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20335 W COUNTRY CLUB DR APT 2407",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801623",
            "telephone_number": "561-247-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ HERNANDEZ",
        "first_name": "LEISI",
        "middle_name": "DE LA CARIDAD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-2473824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.