Individual provider Active NPI

Leydi Cruz Frade

  • Behavior Technician
  • Lehigh Acres, FL
National Provider Identifier
1659257590
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-461103 Issued in FL
Practice address
1154 Lee Blvd Ste 6
Lehigh Acres, FL 33936-4852
Phone
(239) 491-2603
Fax
(239) 674-7392
NPI assigned
Aug 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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-25-461103 FL Primary

Addresses

Primary practice location

1154 Lee Blvd Ste 6
Lehigh Acres, FL 33936-4852

Mailing address

1154 Lee Blvd Ste 6
Lehigh Acres, FL 33936-4852
Phone (239) 491-2603

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-25-461103FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Well Health Center LLC CurrentSince Aug 17, 2025 Accepting new patients

Locations

1154 Lee Blvd
Ste 6
Lehigh Acres, FL 33936
Phone (239) 491-2603

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1659257590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 LEE BLVD STE 6",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364852",
            "telephone_number": "239-491-2603",
            "fax_number": "239-674-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 LEE BLVD STE 6",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339364852",
            "telephone_number": "239-491-2603",
            "fax_number": "239-674-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ FRADE",
        "first_name": "LEYDI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-25-461103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.