Individual provider Active NPI

Julisa Leda Vazansky

  • Behavior Technician
  • Orlando, FL
National Provider Identifier
1053170472
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-342249 Issued in FL
Practice address
920B Delaney Ave
Orlando, FL 32806-1246
Phone
(321) 247-5165
NPI assigned
Mar 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-24-342249 FL Primary
Speech-Language Assistant 2355S0801X 7799 FL
Developmental Therapist 222Q00000X FL

Addresses

Primary practice location

920B Delaney Ave
Orlando, FL 32806-1246

Mailing address

965 Rock Harbor Ave
Orlando, FL 32828-6825
Phone (407) 720-4101

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
RBT-24-342249FLMDBehavior Technician
7799FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Sprig Pediatrics Behavior Technician PastSince Mar 24, 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": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1053170472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 ROCK HARBOR AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328286825",
            "telephone_number": "407-720-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920B DELANEY AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061246",
            "telephone_number": "321-247-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZANSKY",
        "first_name": "JULISA",
        "middle_name": "LEDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-342249",
            "primary": true
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "7799",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 14, 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.

Verify at the official NPI Registry.