Individual provider Active NPI

Ronnie Leyva

  • Behavior Technician
  • Coral Gables, FL
National Provider Identifier
1114376639
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
1503868 Issued in FL
Practice address
1010 E Ponce de Leon Blvd Apt 4
Coral Gables, FL 33134-3330
Phone
(786) 762-7161
NPI assigned
Jun 6, 2016
Last updated
Sep 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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 1503868 FL Primary

Addresses

Primary practice location

1010 E Ponce de Leon Blvd Apt 4
Coral Gables, FL 33134-3330

Mailing address

1010 E Ponce de Leon Blvd Apt 4
Coral Gables, FL 33134-3330

Other practice location 1

14411 Commerce Way Ste 310
Miami Lakes, FL 33016-1532
Phone (305) 827-2822

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
1503868FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1114376639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E PONCE DE LEON BLVD APT 4",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E PONCE DE LEON BLVD APT 4",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343330",
            "telephone_number": "786-762-7161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14411 Commerce Way Ste 310",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330161532",
            "country_code": "US",
            "telephone_number": "305-827-2822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEYVA",
        "first_name": "RONNIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-06",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "1503868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.