Individual provider Active NPI

Gidelin De Leon Guerra, BCBA

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1821523481
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-22-59270 Issued in FL
Practice address
6711 SW 129TH CT
Miami, FL 33183-1303
Phone
(178) 676-5755
NPI assigned
Apr 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-18-54636 FL
Behavior Analyst 103K00000X 1-22-59270 FL Primary

Addresses

Primary practice location

6711 SW 129TH CT
Miami, FL 33183-1303

Mailing address

6711 SW 129TH CT
Miami, FL 33183-1303
Phone (178) 676-5755

Other practice location 1

6711 SW 129th Ct
Miami, FL 33183-1303
Phone (178) 676-5755

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-18-54636FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
D Leon Integrity Behavior Inc Behavior Analyst CurrentSince Dec 3, 2023 Accepting new patients

Locations

10482 NW 31st Ter
Ste 2A
Doral, FL 33172
Phone (786) 765-7550

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1821523481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 SW 129TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331831303",
            "telephone_number": "178-676-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 SW 129TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331831303",
            "telephone_number": "178-676-5755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6711 SW 129th Ct",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331831303",
            "country_code": "US",
            "telephone_number": "178-676-5755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LEON GUERRA",
        "first_name": "GIDELIN",
        "name_prefix": "Mrs.",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-54636",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-22-59270",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 13, 2024; 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.