Individual provider Active NPI

Leyanis Moredo Ortega

  • Behavior Technician
  • Lake Worth, FL
National Provider Identifier
1548721467
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-81912 Issued in FL
Practice address
2230 Lake Worth Rd Apt 111
Lake Worth, FL 33461-3206
Phone
(786) 440-1871
NPI assigned
Mar 26, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-81912 FL Primary

Addresses

Primary practice location

2230 Lake Worth Rd Apt 111
Lake Worth, FL 33461-3206

Mailing address

2230 Lake Worth Rd Apt 111
Lake Worth, FL 33461-3206
Phone (786) 440-1871

Other names 1

  • Leyanis Moredo Ortega Professional name

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
RBT-19-81912FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1548721467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 LAKE WORTH RD APT 111",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613206",
            "telephone_number": "786-440-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 LAKE WORTH RD APT 111",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334613206",
            "telephone_number": "786-440-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREDO ORTEGA",
        "first_name": "LEYANIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-81912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEYANIS",
            "last_name": "MOREDO ORTEGA",
            "credential": "RBT-19-81912",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.