Leonardo Lorenzo Chacon Asusta

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

SW15007 Issued in FL

Practice address

4490 SW 5 Terr
Coral Gables, FL 33134

Phone

(305) 298-4089

NPI assigned

Dec 26, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Florida Personal Management LLC

  • Psychiatry Physician
  • Miami, FL
  • NPI 1144797838
  Medicare reassignment NPD
• Raise Group Inc

  • Behavior Analyst
  • Miami, FL
  • NPI 1932800646
  Medicare reassignment NPD

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1730695933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4490 SW 5TH TER",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341961",
            "telephone_number": "305-298-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4490 SW 5 TERR",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-298-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACON ASUSTA",
        "first_name": "LEONARDO",
        "middle_name": "LORENZO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-26",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15007",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "SW15007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023396400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josue Cesar, LPN
• Daniel Cespedes Jr.
• CGH Hospital, LTD.
• CH Specialty Services FL LLC
• Hector Chacin
• Anna Haydee Chacon, M.D.
• Laura Marcela Chacon, LIC. ACUPUNCTURIST
• Amanda L. T. Chambers, ARNP
• Aldrich Chan, PSYCHOLOGIST
• John W. Chang, MD

• Behavior Analyst in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.