Active NPI
Yudel Ledea Duenas
- Behavior Technician
- Port Charlotte, FL
National Provider Identifier
1164239901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-398667
- Practice address
- 22655 Bayshore Rd
Port Charlotte, FL 33980-2018 - Phone
- (941) 451-9743
- Fax
- (239) 310-2045
- NPI assigned
- Dec 16, 2024
- Last updated
- Dec 16, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-398667 | FL | Primary |
Addresses
Primary practice location
22655 Bayshore Rd
Port Charlotte, FL 33980-2018
Mailing address
3615 Crestwood Lake Ave Apt 203
Fort Myers, FL 33901-8444
Phone (239) 677-6304
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-398667 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1164239901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3615 CRESTWOOD LAKE AVE APT 203",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339018444",
"telephone_number": "239-677-6304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22655 BAYSHORE RD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339802018",
"telephone_number": "941-451-9743",
"fax_number": "239-310-2045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDEA DUENAS",
"first_name": "YUDEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-16",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-24-398667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Charlotte, FL
- Joseph Brady Lawson, D.M.D.
- Michael James Lawson, ARNP
- Sharon M Lazenby, COTA/L
- LC Eyecare Inc
- Deborah Jean Leahy, R.N., L.M.H.C.
- Lee Memorial Health System (LCH-Peds PC#1)
- Lee Memorial Health System (GCHSWFL Charlotte County Pediatric Specialty Clinic)
- Lee Memorial Health System (LCH-Golisano Peds PC Bayshore)
- Lee Memorial Health System (LCH-Peds PC#2)
- Linda Barbara Lee-Bardowski, MS, ARNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.