Active NPI
Boris Ledesma Huete
- Behavior Technician
- Miami, FL
National Provider Identifier
1740756766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-62936
- Practice address
- 9290 Hammocks Blvd Ste 401
Miami, FL 33196-1347 - Phone
- (786) 558-5694
- Fax
- (786) 913-7034
- NPI assigned
- Oct 17, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-62936 | FL | Primary |
Addresses
Primary practice location
9290 Hammocks Blvd Ste 401
Miami, FL 33196-1347
Mailing address
15650 SW 141St CT
Miami, FL 33177-1099
Phone (786) 612-0746
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-62936 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550534400000",
"number": "1740756766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15650 SW 141ST CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331771099",
"telephone_number": "786-612-0746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9290 HAMMOCKS BLVD STE 401",
"city": "MIAMI",
"state": "FL",
"postal_code": "331961347",
"telephone_number": "786-558-5694",
"fax_number": "786-913-7034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDESMA HUETE",
"first_name": "BORIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-17",
"last_updated": "2019-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-18-62936",
"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 Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.