Leslie Aqueron, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

19-101853

Practice address

704 Bruce CT
Herndon, VA 20170-5442

Phone

(254) 640-6438

NPI assigned

Oct 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• New Directions ABA LLC

  • Behavior Analyst
  • Herndon, VA
  • NPI 1033681515
  NPD (past)

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1467094946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 BRUCE CT",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705442",
            "telephone_number": "254-640-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 BRUCE CT",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201705442",
            "telephone_number": "254-640-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUERON",
        "first_name": "LESLIE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "19-101853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYTIC CERTIFICATION BOARD",
            "identifier": "19-101853",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaylynn@newdirectionsaba.com",
            "affiliation": "N",
            "endpointDescription": "Director Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "704 Bruce Ct",
            "city": "Herndon",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201705442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tablets@newdirectionsaba.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "704 Bruce Ct",
            "city": "Herndon",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201705442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carolyn Mars Angioli, PNP
• Krysia Marie Angle
• Anh P Dang-Vu, MD, PC
• Tiffany H Anomaly, IBCLC
• Anthony J. Black, D.D.S,,P.C
• Aquila Recovery of Virginia LLC
• Taplin Arant
• Angela Jenny Argueta
• Narmatha Arichandran, M.D.
• Laura B. Arm, OTR

• All providers in Herndon, VA
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.

Verify at the official NPI Registry.