Individual provider Active NPI

Pedro Didier Medina Llamosa, BCBA

  • Behavior Analyst
  • Homestead, FL
National Provider Identifier
1578347530
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BCBA-1-26-90339 Issued in FL
Practice address
15260 SW 280TH St Ste 201
Homestead, FL 33032-8187
Phone
(407) 800-6086
Fax
(305) 230-2038
NPI assigned
Aug 22, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 23-291700 FL
Behavior Analyst 103K00000X BCBA-1-26-90339 FL Primary

Addresses

Primary practice location

15260 SW 280TH St Ste 201
Homestead, FL 33032-8187

Mailing address

24353 SW 109TH Ave
Homestead, FL 33032-5117
Phone (786) 682-5474

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
23-291700FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1578347530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24353 SW 109TH AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330325117",
            "telephone_number": "786-682-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15260 SW 280TH ST STE 201",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328187",
            "telephone_number": "407-800-6086",
            "fax_number": "305-230-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA LLAMOSA",
        "first_name": "PEDRO",
        "middle_name": "DIDIER",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-22",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "23-291700",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "BCBA-1-26-90339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.