Individual provider Active NPI

Leyra Ines Cueto Ulacio, RBT

  • Behavior Technician
  • Port St Lucie, FL
National Provider Identifier
1760942528
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-80634 Issued in FL
Practice address
10850 S US Highway 1 Ste 2
Port St Lucie, FL 34952-6407
Phone
(772) 446-3044
NPI assigned
Mar 20, 2019
Last updated
Mar 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-80634 FL Primary

Addresses

Primary practice location

10850 S US Highway 1 Ste 2
Port St Lucie, FL 34952-6407

Mailing address

10850 S US Highway 1 Ste 2
Port St Lucie, FL 34952-6407
Phone (321) 750-9925

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

LicenseStateTypeSpecialty
RBT-19-80634FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1760942528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 S US HIGHWAY 1 STE 2",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349526407",
            "telephone_number": "321-750-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 S US HIGHWAY 1 STE 2",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349526407",
            "telephone_number": "772-446-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUETO ULACIO",
        "first_name": "LEYRA",
        "middle_name": "INES",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-80634",
            "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 Mar 20, 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.

Verify at the official NPI Registry.