Individual provider Active NPI

Leidymar Johana Blasco Esteves

  • Behavior Analyst
  • Kissimmee, FL
National Provider Identifier
1528535192
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BCBA-1-25-81587 Issued in FL
Practice address
162 Magic Landings Blvd
Kissimmee, FL 34744-5514
Phone
(407) 492-2392
NPI assigned
Oct 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X BCBA-1-25-81587 FL Primary

Addresses

Primary practice location

162 Magic Landings Blvd
Kissimmee, FL 34744-5514

Mailing address

162 Magic Landings Blvd
Kissimmee, FL 34744-5514
Phone (407) 492-2392

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

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1528535192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 MAGIC LANDINGS BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445514",
            "telephone_number": "407-492-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 MAGIC LANDINGS BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445514",
            "telephone_number": "407-492-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASCO ESTEVES",
        "first_name": "LEIDYMAR",
        "middle_name": "JOHANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "BCBA-1-25-81587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.