Active NPI
Gustavo Roque Landin
- Behavior Analyst
- Miami, FL
National Provider Identifier
1104548122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-26-87883
- Practice address
- 6605 SW 112TH CT
Miami, FL 33173-1940 - Phone
- (786) 385-4860
- NPI assigned
- Sep 15, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-233646 | FL | |
| Behavior Analyst | 103K00000X | 1-26-87883 | FL | Primary |
Addresses
Primary practice location
6605 SW 112TH CT
Miami, FL 33173-1940
Mailing address
6605 SW 112TH CT
Miami, FL 33173-1940
Phone (786) 385-4860
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 |
|---|---|---|---|
| RBT-22-233646 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1104548122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6605 SW 112TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331731940",
"telephone_number": "786-385-4860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6605 SW 112TH CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331731940",
"telephone_number": "786-385-4860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROQUE LANDIN",
"first_name": "GUSTAVO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-15",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-22-233646",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-26-87883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.