Active NPI
Briana Leyva
- Behavior Technician
- Woodbridge, VA
National Provider Identifier
1750825071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 15-07699
- Practice address
- 2300 Vantage Dr
Suite 2007
Woodbridge, VA 22191-4157 - Phone
- (407) 574-5629
- Fax
- (407) 965-4480
- NPI assigned
- Dec 5, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 15-07699 | VA | Primary |
Addresses
Primary practice location
2300 Vantage Dr
Suite 2007
Woodbridge, VA 22191-4157
Mailing address
8701 Maitland Summit Blvd
Orlando, FL 32810-5915
Phone (407) 574-4629
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 |
|---|---|---|---|
| 15-07699 | VA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480896000000",
"number": "1750825071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8701 MAITLAND SUMMIT BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328105915",
"telephone_number": "407-574-4629",
"fax_number": "407-965-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 VANTAGE DR",
"address_2": "SUITE 2007",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221914157",
"telephone_number": "407-574-5629",
"fax_number": "407-965-4480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEYVA",
"first_name": "BRIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-05",
"last_updated": "2016-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "VA",
"license": "15-07699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.