Lester Jesus Alfonso Portales

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

23315898 Issued in FL

Practice address

12401 W Okeechobee Rd Lot 470
Hialeah Gardens, FL 33018-5906

Phone

(786) 792-0854

NPI assigned

Dec 27, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1407625981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 W OKEECHOBEE RD LOT 470",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330185906",
            "telephone_number": "786-792-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 W OKEECHOBEE RD LOT 470",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330185906",
            "telephone_number": "786-792-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFONSO PORTALES",
        "first_name": "LESTER",
        "middle_name": "JESUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-27",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "23315898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahava & Shalom Family Counseling Center
• Guiglola Alexandra Alba
• Aldo Surgical & Hospital Supply, Inc.
• Martha Alfaro, MFT
• Gladys Alfonso Pacheco
• Sandra Alfonso
• Alonso Health Care Services LLC
• Edmagnolia Alonso Vega
• Adrian Alonso
• Alisbel Alonso

• Behavior Technician in Hialeah Gardens, FL
• Providers in Hialeah Gardens, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.

Verify at the official NPI Registry.