Individual provider Active NPI

Haydee Llanes

  • Behavior Technician
  • Newport News, VA
National Provider Identifier
1083062723
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-18-58372 Issued in FL
Practice address
2134 Criston Dr Apt 2a
Newport News, VA 23602-5105
Phone
(571) 619-2333
NPI assigned
Jun 2, 2016
Last updated
Jul 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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 RBT-18-58372 FL Primary

Addresses

Primary practice location

2134 Criston Dr Apt 2a
Newport News, VA 23602-5105

Mailing address

2134 Criston Dr Apt 2a
Newport News, VA 23602-5105
Phone (571) 619-2333

Other practice location 1

3613 Ox Ridge Ct
Fairfax, VA 22033-2586
Phone (571) 619-2333

Other identifiers 1

IdentifierTypeStateIssuer
018613900MedicaidFL

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-18-58372FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1083062723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2134 CRISTON DR APT 2A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236025105",
            "telephone_number": "571-619-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2134 CRISTON DR APT 2A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236025105",
            "telephone_number": "571-619-2333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3613 Ox Ridge Ct",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220332586",
            "country_code": "US",
            "telephone_number": "571-619-2333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LLANES",
        "first_name": "HAYDEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-58372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018613900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.