Individual provider Active NPI

Leticia Montiel

  • Behavior Technician
  • Hialeah, FL
National Provider Identifier
1124521539
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
XXXXXXXXXXXXXXXXXXXX Issued in FL
Practice address
1915 W 54TH St Apt H04
Hialeah, FL 33012-2145
Phone
(786) 374-4248
NPI assigned
Mar 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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 XXXXXXXXXXXXXXXXXXXX FL Primary

Addresses

Primary practice location

1915 W 54TH St Apt H04
Hialeah, FL 33012-2145

Mailing address

1915 W 54TH St Apt H04
Hialeah, FL 33012-2145
Phone (786) 374-4248

Other identifiers 1

IdentifierTypeStateIssuer
XXXXXXXXXXXXXXXXXXXXMedicaidFL

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
XXXXXXXXXXXXXXXXXXXXFLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1124521539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 W 54TH ST APT H04",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122145",
            "telephone_number": "786-374-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 W 54TH ST APT H04",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122145",
            "telephone_number": "786-374-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTIEL",
        "first_name": "LETICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "XXXXXXXXXXXXXXXXXXXX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XXXXXXXXXXXXXXXXXXXX",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.