Organization Active NPI

Leaders Behavior ABA & Counseling, LLC

  • Behavior Analyst
  • Port St Lucie, FL
National Provider Identifier
1760085518
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
LEADERS BEHAVIOR ABA & COUNSELING, LLC
Practice address
1600 SW Sylvester LN
Port St Lucie, FL 34984-3605
Phone
(772) 777-9265
NPI assigned
Nov 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Authorized official

Name
Ms. Yaned Gonzalez, BCBANPI 1720425085
Title
Lead Analyst
Phone
(772) 777-9265

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1600 SW Sylvester LN
Port St Lucie, FL 34984-3605

Mailing address

1600 SW Sylvester LN
Port St Lucie, FL 34984-3605
Phone (772) 777-9265

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1760085518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SW SYLVESTER LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349843605",
            "telephone_number": "772-777-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW SYLVESTER LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349843605",
            "telephone_number": "772-777-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEADERS BEHAVIOR ABA & COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "YANED",
        "authorized_official_title_or_position": "LEAD ANALYST",
        "authorized_official_telephone_number": "772-777-9265",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.