Individual provider Active NPI

Ligsuan Casas Guillama

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1174378046
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT24-338754 Issued in FL
Practice address
13818 SW 152ND St Apt 127
Miami, FL 33177-1164
Phone
(786) 731-7674
NPI assigned
Apr 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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 RBT24-338754 FL Primary

Addresses

Primary practice location

13818 SW 152ND St Apt 127
Miami, FL 33177-1164

Mailing address

13818 SW 152ND St Apt 127
Miami, FL 33177-1164
Phone (786) 731-7674

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
RBT24-338754FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1174378046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13818 SW 152ND ST APT 127",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771164",
            "telephone_number": "786-731-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13818 SW 152ND ST APT 127",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771164",
            "telephone_number": "786-731-7674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASAS GUILLAMA",
        "first_name": "LIGSUAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT24-338754",
            "primary": true
        }
    ],
    "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 Apr 23, 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.

Verify at the official NPI Registry.