Leyla Jacqueline Garache, RBT

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

12545 Sophiamarie Loop
Orlando, FL 32828-7168

Phone

(407) 371-8035

NPI assigned

Mar 25, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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.

• Kids Connection Therapy LLC

  • Early Intervention Provider Agency
  • Longwood, FL
  • NPI 1720144371

  Developmental Therapist

  NPD (past)

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

{
    "created_epoch": "1521936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1477058204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12545 SOPHIAMARIE LOOP",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287168",
            "telephone_number": "407-371-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12545 SOPHIAMARIE LOOP",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287168",
            "telephone_number": "407-371-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARACHE",
        "first_name": "LEYLA",
        "middle_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-25",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenisha Dale Ganzy, CRNA
• Ming Gao, CRNA
• Xiaomei Gao
• Alfredo Mallare Gapuz,Jr., D.M.D.
• Geraldine Garaban, MD
• Garay Eye Care and Surgery Center PA
• Esther Garay, LMT
• Leslie Garay, M.D.
• Linda Maria Garay
• Jorge E. Garayua, MD

• All providers in Orlando, FL
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.