Individual provider Active NPI

Leonardo Andres Sulbaran Sanchez

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1164037438
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT20124299 Issued in FL
Practice address
1900 N Bayshore Dr Apt 2211
Miami, FL 33132-3011
Phone
(786) 918-0743
NPI assigned
Sep 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT20124299 FL Primary
Assistant Behavior Analyst 106E00000X

Addresses

Primary practice location

1900 N Bayshore Dr Apt 2211
Miami, FL 33132-3011

Mailing address

1900 N Bayshore Dr Apt 2211
Miami, FL 33132-3011
Phone (786) 918-0743

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
RBT20124299FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1599955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1164037438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N BAYSHORE DR APT 2211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331323011",
            "telephone_number": "786-918-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N BAYSHORE DR APT 2211",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331323011",
            "telephone_number": "786-918-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULBARAN SANCHEZ",
        "first_name": "LEONARDO",
        "middle_name": "ANDRES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-13",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT20124299",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 20, 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.