Individual provider Active NPI

Ivis Del Carmen Alonso Lechuga

  • Behavior Analyst
  • Virginia Gardens, FL
National Provider Identifier
1639876501
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-25-84889 Issued in FL
Practice address
6370 NW 41St St
Virginia Gardens, FL 33166-6905
Phone
(786) 712-9751
NPI assigned
Feb 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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 1-25-84889 FL Primary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X

Addresses

Primary practice location

6370 NW 41St St
Virginia Gardens, FL 33166-6905

Mailing address

6370 NW 41St St
Virginia Gardens, FL 33166-6905
Phone (786) 712-9751

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL alonsojkc@gmail.com

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": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1639876501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6370 NW 41ST ST",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666905",
            "telephone_number": "786-712-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6370 NW 41ST ST",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666905",
            "telephone_number": "786-712-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONSO LECHUGA",
        "first_name": "IVIS",
        "middle_name": "DEL CARMEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-10",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-25-84889",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "alonsojkc@gmail.com",
            "affiliation": "N",
            "address_1": "6370 NW 41st St",
            "city": "Virginia Gardens",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331666905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Virginia Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.