Active NPI
Julio Mauricio Villegas
- Behavior Analyst
- Largo, FL
National Provider Identifier
1609391937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-42214
- Practice address
- 12505 Starkey Rd Ste G
Largo, FL 33773-2617 - Phone
- (727) 280-6643
- NPI assigned
- Aug 8, 2017
- Last updated
- Jun 26, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-20-42214 | GA | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
12505 Starkey Rd Ste G
Largo, FL 33773-2617
Mailing address
4512 Wescott LN
Tampa, FL 33624-5218
Phone (813) 506-4359
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": "1502150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1609391937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4512 WESCOTT LN",
"city": "TAMPA",
"state": "FL",
"postal_code": "336245218",
"telephone_number": "813-506-4359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12505 STARKEY RD STE G",
"city": "LARGO",
"state": "FL",
"postal_code": "337732617",
"telephone_number": "727-280-6643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLEGAS",
"first_name": "JULIO",
"middle_name": "MAURICIO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-08",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "1-20-42214",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.