Active NPI
Ileana Ines Perez Santiesteban
- Assistant Behavior Analyst
- Miami, FL
National Provider Identifier
1386214401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- RBT-20-124613
- Practice address
- 101 SW 58TH CT Apt a
Miami, FL 33144-3314 - Phone
- (305) 785-5083
- NPI assigned
- Jun 30, 2021
- 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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | RBT-20-124613 | FL | Primary |
Addresses
Primary practice location
101 SW 58TH CT Apt a
Miami, FL 33144-3314
Mailing address
101 SW 58TH CT Apt a
Miami, FL 33144-3314
Phone (305) 785-5083
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 |
|---|---|---|---|
| RBT-20-124613 | FL | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1386214401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SW 58TH CT APT A",
"city": "MIAMI",
"state": "FL",
"postal_code": "331443314",
"telephone_number": "305-785-5083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SW 58TH CT APT A",
"city": "MIAMI",
"state": "FL",
"postal_code": "331443314",
"telephone_number": "305-785-5083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ SANTIESTEBAN",
"first_name": "ILEANA",
"middle_name": "INES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-30",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": "RBT-20-124613",
"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 Aug 28, 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.