Individual provider Active NPI

Beatriz Dominguez Leon

  • Behavior Technician
  • Fort Myers, FL
National Provider Identifier
1457229486
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-486561 Issued in FL
Practice address
4901 Eastwood Greens St Unit 205
Fort Myers, FL 33905-3655
Phone
(786) 431-7288
NPI assigned
Oct 29, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-25-486561 FL Primary

Addresses

Primary practice location

4901 Eastwood Greens St Unit 205
Fort Myers, FL 33905-3655

Mailing address

4901 Eastwood Greens St Unit 205
Fort Myers, FL 33905-3655
Phone (786) 431-7288

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
RBT-25-486561FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1457229486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 EASTWOOD GREENS ST UNIT 205",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339053655",
            "telephone_number": "786-431-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 EASTWOOD GREENS ST UNIT 205",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339053655",
            "telephone_number": "786-431-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ LEON",
        "first_name": "BEATRIZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-25-486561",
            "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 Oct 29, 2025; 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.