Individual provider Active NPI

Leidys Ana Vazquez Quintana

  • Behavior Technician
  • Kissimmee, FL
National Provider Identifier
1104668649
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1725 Business Center LN
Kissimmee, FL 34758-1801
Phone
(407) 686-3379
NPI assigned
Jun 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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 Primary

Addresses

Primary practice location

1725 Business Center LN
Kissimmee, FL 34758-1801

Mailing address

1725 Business Center LN
Kissimmee, FL 34758-1801
Phone (502) 975-5322

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

Practice roles

OrganizationSpecialtyStatusNew patients
Falls Family Center, LLC CurrentSince Jun 9, 2024 Accepting new patients

Locations

1725 Business Center Ln
Kissimmee, FL 34758
Phone (407) 201-5177

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": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1104668649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 BUSINESS CENTER LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347581801",
            "telephone_number": "502-975-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 BUSINESS CENTER LN",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347581801",
            "telephone_number": "407-686-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ QUINTANA",
        "first_name": "LEIDYS",
        "middle_name": "ANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.