Individual provider Active NPI

Heisis Dailyn Leal Colmenarez

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1194224824
Registry record updated Feb 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
16935 SW 93Rd St Apt 1-109
Miami, FL 33196-1048
Phone
(786) 817-0040
NPI assigned
Feb 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2018

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 FL Primary

Addresses

Primary practice location

16935 SW 93Rd St Apt 1-109
Miami, FL 33196-1048

Mailing address

16935 SW 93Rd St Apt 1-109
Miami, FL 33196-1048
Phone (786) 817-0040

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

NPI Registry JSON

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1194224824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16935 SW 93RD ST APT 1-109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961048",
            "telephone_number": "786-817-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16935 SW 93RD ST APT 1-109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961048",
            "telephone_number": "786-817-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAL COLMENAREZ",
        "first_name": "HEISIS",
        "middle_name": "DAILYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "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 Feb 8, 2018; 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.