Individual provider Active NPI

Lis Quintana Ceijas

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1265218994
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
762367 Issued in FL
Practice address
2400A NW 54TH St
Miami, FL 33142-2946
Phone
(305) 607-0590
Fax
(305) 847-2752
NPI assigned
Sep 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 762367 FL Primary

Addresses

Primary practice location

2400A NW 54TH St
Miami, FL 33142-2946

Mailing address

15495 SW 73Rd LN Apt 12
Miami, FL 33193-1836
Phone (768) 294-2404

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
762367FLMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1265218994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15495 SW 73RD LN APT 12",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331931836",
            "telephone_number": "768-294-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400A NW 54TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331422946",
            "telephone_number": "305-607-0590",
            "fax_number": "305-847-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA CEIJAS",
        "first_name": "LIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "762367",
            "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 Sep 7, 2023; 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.