Individual provider Active NPI

Miguel Angel Leyva Gomez

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1114792199
Registry record updated Jul 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-23-69634 Issued in FL
Practice address
12985 SW 130TH CT Ste 108-1
Miami, FL 33186-5312
Phone
(786) 537-2758
NPI assigned
Nov 20, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-23-69634 FL Primary

Addresses

Primary practice location

12985 SW 130TH CT Ste 108-1
Miami, FL 33186-5312

Mailing address

15751 SW 144TH PL
Miami, FL 33177-7210
Phone (786) 537-2758

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
Leyva'S Behavioral Therapy LLC Behavior Analyst CurrentSince Apr 21, 2024 Accepting new patients

Locations

12985 SW 130th Ct
Ste 1081
Miami, FL 33186
Phone (786) 234-7035

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": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721433600000",
    "number": "1114792199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15751 SW 144TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331777210",
            "telephone_number": "786-537-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12985 SW 130TH CT STE 108-1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865312",
            "telephone_number": "786-537-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYVA GOMEZ",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-20",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-69634",
            "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 Jul 20, 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.