Individual provider Active NPI

Ingrid M Lebredo, BCBA

  • Behavior Analyst
  • Miramar, FL
National Provider Identifier
1407384159
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
11820 Miramar Pkwy Ste 214
Miramar, FL 33025-5818
Phone
(786) 399-8439
Fax
(561) 619-7423
NPI assigned
May 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 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 Primary

Addresses

Primary practice location

11820 Miramar Pkwy Ste 214
Miramar, FL 33025-5818

Mailing address

18064 SW 20TH St
Miramar, FL 33029-5209
Phone (786) 399-8439

Other identifiers 1

IdentifierTypeStateIssuer
102963300MedicaidFL

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
Lebredo Behavior Analysis Services Corp. Behavior Analyst CurrentSince Jul 5, 2020 Accepting new patients
ABA Services 4 Smart Kids Inc. Behavior Analyst CurrentSince Jun 11, 2023 Accepting new patients

Locations

5700 Lake Worth Rd
Ste 209-7
Greenacres, FL 33463
Phone (786) 399-8439

11820 Miramar Pkwy
Ste 214
Miramar, FL 33025
Phone (786) 399-8439

Organizations & group practices 2

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": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1407384159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18064 SW 20TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295209",
            "telephone_number": "786-399-8439",
            "fax_number": "561-619-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11820 MIRAMAR PKWY STE 214",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330255818",
            "telephone_number": "786-399-8439",
            "fax_number": "561-619-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBREDO",
        "first_name": "INGRID",
        "middle_name": "M",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102963300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.