Active NPI
Katiusca Leon Avila
- Behavior Technician
- Tampa, FL
National Provider Identifier
1033987714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 23-315770
- Practice address
- 12326 Witheridge Dr
Tampa, FL 33624-5727 - Phone
- (832) 245-6728
- NPI assigned
- Dec 13, 2023
- Last updated
- Feb 19, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 23-315770 | FL | Primary |
Addresses
Primary practice location
12326 Witheridge Dr
Tampa, FL 33624-5727
Mailing address
12326 Witheridge Dr
Tampa, FL 33624-5727
Phone (832) 245-6728
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23-315770 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771459200000",
"number": "1033987714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12326 WITHERIDGE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336245727",
"telephone_number": "832-245-6728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12326 WITHERIDGE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336245727",
"telephone_number": "832-245-6728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON AVILA",
"first_name": "KATIUSCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-13",
"last_updated": "2026-02-19",
"certification_date": "2026-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "23-315770",
"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 Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.