Individual provider Active NPI

Leticia Alonso

  • Assistant Behavior Analyst
  • Miami, FL
National Provider Identifier
1194176438
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
Practice address
13155 SW 134TH St Ste 115
Miami, FL 33186-4487
Phone
(786) 429-3738
Fax
(305) 397-2416
NPI assigned
Jun 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Home Health Aide 374U00000X FL
Assistant Behavior Analyst 106E00000X FL Primary

Addresses

Primary practice location

13155 SW 134TH St Ste 115
Miami, FL 33186-4487

Mailing address

13155 SW 134TH St Ste 115
Miami, FL 33186-4487
Phone (786) 429-3738

Other identifiers 4

IdentifierTypeStateIssuer
1961538OtherFLWELLCARE
005564800MedicaidFL
003015700OtherFLMEDICAID WAIVER
017450000OtherFLBEHAVIOR ANALYSIST GROUP

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
Favy HCS, Inc. CurrentSince Nov 5, 2023 Accepting new patients

Locations

12360 SW 132nd Ct
Ste 205
Miami, FL 33186
Phone (786) 429-3738

13155 SW 134th St
Ste 115
Miami, FL 33186
Phone (786) 429-3738

Organizations & group practices 1

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": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1194176438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13155 SW 134TH ST STE 115",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864487",
            "telephone_number": "786-429-3738",
            "fax_number": "305-397-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13155 SW 134TH ST STE 115",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864487",
            "telephone_number": "786-429-3738",
            "fax_number": "305-397-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONSO",
        "first_name": "LETICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1961538",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005564800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER",
            "identifier": "003015700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYSIST GROUP",
            "identifier": "017450000",
            "state": "FL"
        }
    ],
    "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 5, 2022; 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.