NPIMap

Organization Active NPI

Latino Leadership, Inc.

  • Behavior Analyst
  • Titusville, FL
National Provider Identifier
1144980251
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LATINO LEADERSHIP, INC.
Practice address
4403 S Hopkins Ave
Titusville, FL 32780-6651
Phone
(407) 895-0801
Fax
(407) 895-0803
NPI assigned
Dec 30, 2021
Organization subpart
Yes
Parent organization
LATINO LEADERSHIP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Authorized official

Name
Marucci Guzman
Title
Executive Director
Phone
(407) 895-0801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

4403 S Hopkins Ave
Titusville, FL 32780-6651

Mailing address

8617 E Colonial Dr Ste 1600
Orlando, FL 32817-3937
Phone (407) 895-0801

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address infoT@santiagoandfriends.com Direct
Other URL https://acct#members.login.centralreach.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Latino Leadership Inc6 organizations share this tax ID, including this one
Part of
Latino Leadership Inc

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4403 S Hopkins Ave
Titusville, FL 32780
Phone (321) 346-8450

Interoperability endpoints

  • Direct secure messaging: infot@santiagoandfriends.com

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1144980251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8617 E COLONIAL DR STE 1600",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328173937",
            "telephone_number": "407-895-0801",
            "fax_number": "407-895-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 S HOPKINS AVE",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327806651",
            "telephone_number": "407-895-0801",
            "fax_number": "407-895-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATINO LEADERSHIP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LATINO LEADERSHIP, INC.",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "MARUCCI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "407-895-0801"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "infoT@santiagoandfriends.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Client Correspondence",
            "address_1": "4403 S Hopkins Ave",
            "city": "Titusville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327806651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://acct#members.login.centralreach.com",
            "affiliation": "N",
            "endpointDescription": "Medical Administsration",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Medical Records and Accounts Receivables",
            "address_1": "4403 S Hopkins Ave",
            "city": "Titusville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327806651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.