Active NPI
Kenya Louidor
- Behavior Technician
- Miami, FL
National Provider Identifier
1699307033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 8785 SW 165TH Ave Ste 104
Miami, FL 33193-5827 - Phone
- (786) 573-8797
- NPI assigned
- Feb 4, 2020
- Sex
- Female
- 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 | |||
| Behavior Technician | 106S00000X | FL | Primary |
Addresses
Primary practice location
8785 SW 165TH Ave Ste 104
Miami, FL 33193-5827
Mailing address
3021 NW 21St CT
Ft Lauderdale, FL 33311-3211
Phone (786) 602-9983
Other practice location 1
6961 University Blvd
Winter Park, FL 32792-6710
Phone (407) 543-8356
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": "1580774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1699307033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3021 NW 21ST CT",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333113211",
"telephone_number": "786-602-9983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8785 SW 165TH AVE STE 104",
"city": "MIAMI",
"state": "FL",
"postal_code": "331935827",
"telephone_number": "786-573-8797"
}
],
"practiceLocations": [
{
"address_1": "6961 University Blvd",
"address_purpose": "LOCATION",
"city": "Winter Park",
"state": "FL",
"postal_code": "327926710",
"country_code": "US",
"telephone_number": "407-543-8356",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOUIDOR",
"first_name": "KENYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-04",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.