Llamelys Llera Mena

Key facts

NPI

1801637475

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

License

L655520759460 (FL)

Practice address

13711 SW 84TH St Apt F
Kendall, FL 33183-4022

Phone

(786) 658-3438

NPI assigned

Jun 5, 2024

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 5, 2024.

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1801637475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13711 SW 84TH ST APT F",
            "city": "KENDALL",
            "state": "FL",
            "postal_code": "331834022",
            "telephone_number": "786-658-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13711 SW 84TH ST APT F",
            "city": "KENDALL",
            "state": "FL",
            "postal_code": "331834022",
            "telephone_number": "786-658-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLERA MENA",
        "first_name": "LLAMELYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "L655520759460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Kendall, FL · Behavior Technician in Florida