Active NPI
Beatriz Leal Canelon, RBT
- Behavior Technician
- Fort Myers, FL
National Provider Identifier
1336745009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 20-144210
- Practice address
- 8359 Beacon Blvd Ste 416
Fort Myers, FL 33907-3065 - Phone
- (305) 322-5069
- NPI assigned
- Dec 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 20-144210 | FL | Primary |
Addresses
Primary practice location
8359 Beacon Blvd Ste 416
Fort Myers, FL 33907-3065
Mailing address
8359 Beacon Blvd
Suite 416
Fort Myers, FL 33907
Phone (305) 322-5069
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20-144210 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1336745009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8359 BEACON BLVD",
"address_2": "SUITE 416",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "33907",
"telephone_number": "305-322-5069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8359 BEACON BLVD STE 416",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339073065",
"telephone_number": "305-322-5069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAL CANELON",
"first_name": "BEATRIZ",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-08",
"last_updated": "2020-12-18",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "FL",
"license": "20-144210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.