Active NPI
Omar Luis Del Llano
- Behavior Technician
- Live Oak, FL
National Provider Identifier
1477394146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-349958
- Practice address
- 15015 N County Road 349
Live Oak, FL 32060-6589 - Phone
- (305) 316-9917
- NPI assigned
- Jun 5, 2024
- Last updated
- Jun 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-24-349958 | FL | Primary |
Addresses
Primary practice location
15015 N County Road 349
Live Oak, FL 32060-6589
Mailing address
15015 N County Road 349
Live Oak, FL 32060-6589
Phone (305) 316-9917
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-349958 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1477394146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15015 N COUNTY ROAD 349",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320606589",
"telephone_number": "305-316-9917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15015 N COUNTY ROAD 349",
"city": "LIVE OAK",
"state": "FL",
"postal_code": "320606589",
"telephone_number": "305-316-9917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL LLANO",
"first_name": "OMAR",
"middle_name": "LUIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-05",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-24-349958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Live Oak, FL
- D's Healthcare Transportation Inc.
- Aimee Noelle Daniel, M.ED. CCC-SLP
- Tammy Lee Daniel, APRN
- Melissa Dionne Daniels, PHARMD, CPH
- Andrea Dasilva, SLP
- Delta Health Group Inc (Suwannee Health Care Center)
- Digestive Disease Center of Live Oak, LLC
- Malesa Dukes, LCSW(PROVISIONAL)
- Robert Dale Dunlap
- Keri Dykes
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.