Active NPI
Kimberly Leon
- Behavior Technician
- Miami, FL
National Provider Identifier
1760083612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-139300
- Practice address
- 9220 SW 72ND St Ste 101
Miami, FL 33173-3259 - Phone
- (305) 273-3773
- NPI assigned
- Nov 6, 2020
- 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 | RBT-20-139300 | FL | Primary |
Addresses
Primary practice location
9220 SW 72ND St Ste 101
Miami, FL 33173-3259
Mailing address
260 NW 107TH Ave Apt 223
Miami, FL 33172-3851
Phone (786) 906-0290
Other practice location 1
9600 NW 25th St Ph Suite
Doral, FL 33172-1416
Phone (305) 597-3861
Other practice location 2
11060 N Kendall Dr
Miami, FL 33176-1272
Phone (305) 668-8644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108607100 | Medicaid | FL |
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-20-139300 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1760083612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 NW 107TH AVE APT 223",
"city": "MIAMI",
"state": "FL",
"postal_code": "331723851",
"telephone_number": "786-906-0290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9220 SW 72ND ST STE 101",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733259",
"telephone_number": "305-273-3773"
}
],
"practiceLocations": [
{
"address_1": "9600 NW 25th St Ph Suite",
"address_purpose": "LOCATION",
"city": "Doral",
"state": "FL",
"postal_code": "331721416",
"country_code": "US",
"telephone_number": "305-597-3861",
"fax_number": "305-597-3863",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11060 N Kendall Dr",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331761272",
"country_code": "US",
"telephone_number": "305-668-8644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEON",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-06",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-20-139300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108607100",
"state": "FL"
}
],
"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 Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.