Individual provider Active NPI

Cinthya Luis Leon

  • Behavior Analyst
  • Miami Gardens, FL
National Provider Identifier
1497285530
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
12156708 Issued in FL
Practice address
4503 NW 203Rd Ter
Miami Gardens, FL 33055-1243
Phone
(786) 406-3462
NPI assigned
Jun 12, 2017
Last updated
Jul 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 12156708 FL Primary
Behavior Technician 106S00000X RBT-19-76785 FL

Addresses

Primary practice location

4503 NW 203Rd Ter
Miami Gardens, FL 33055-1243

Mailing address

4503 NW 203Rd Ter
Miami Gardens, FL 33055-1243
Phone (786) 406-3462

Other identifiers 1

IdentifierTypeStateIssuer
103573000MedicaidFL

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
12156708FLMDBehavioral Analyst
RBT-19-76785FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
1 Success ABA Therapy LLC Behavior Analyst Current Accepting new patients
Heartwell Home Health Care Corp. Past Accepting new patients
Heartwell Home Health Care Corp. Behavior Analyst PastSince Sep 23, 2021 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1497285530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 NW 203RD TER",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330551243",
            "telephone_number": "786-406-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 NW 203RD TER",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330551243",
            "telephone_number": "786-406-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUIS LEON",
        "first_name": "CINTHYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "12156708",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-76785",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103573000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.