Individual provider Active NPI

Enrique Leon, BCBA

  • Behavior Analyst
  • Kissimmee, FL
National Provider Identifier
1164825642
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
2951 Park Pond Way
Kissimmee, FL 34741-7661
Phone
(321) 355-3904
Fax
(407) 201-4782
NPI assigned
Sep 29, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Behavior Analyst 103K00000X 1-19-39692 FL
Assistant Behavior Analyst 106E00000X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

2951 Park Pond Way
Kissimmee, FL 34741-7661

Mailing address

1555 Key CT
Kissimmee, FL 34744-2756
Phone (407) 267-2405

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
Osceola County Center for Behavior, LLC Behavior Analyst CurrentSince Jan 12, 2025 Accepting new patients
New Light Behavioral Solutions Behavior Analyst CurrentSince Jan 12, 2025 Accepting new patients
Oca Opportunity Community Ability Inc Behavior Analyst Past Accepting new patients
Center for Autism and Related Disorders LLC Behavior Analyst PastSince Sep 1, 2022 Accepting new patients
Vocational Development Group, LLC Behavior Analyst PastSince Nov 1, 2022 Accepting new patients
Vocational Development Group, LLC Behavior Analyst PastSince Nov 1, 2022 Accepting new patients

Locations

2951 Park Pond Way
Kissimmee, FL 34741
Phone (321) 355-3904

Organizations & group practices 6

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": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1164825642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 KEY CT",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347442756",
            "telephone_number": "407-267-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 PARK POND WAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417661",
            "telephone_number": "321-355-3904",
            "fax_number": "407-201-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "ENRIQUE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-29",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-19-39692",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.