Individual provider Active NPI

Leidys Leon Oreilly

  • Behavior Technician
  • Miami Gardens, FL
National Provider Identifier
1821698614
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-121138 Issued in FL
Practice address
5031 NW 168TH Ter
Miami Gardens, FL 33055-4139
Phone
(239) 404-3025
NPI assigned
Oct 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 20-121138 FL
Behavior Technician 106S00000X
Behavior Technician 106S00000X RBT-20-121138 FL Primary

Addresses

Primary practice location

5031 NW 168TH Ter
Miami Gardens, FL 33055-4139

Mailing address

5031 NW 168TH Ter
Miami Gardens, FL 33055-4139
Phone (239) 404-3025

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
20-121138FLMDBehavior Technician
RBT-20-121138FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1821698614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5031 NW 168TH TER",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330554139",
            "telephone_number": "239-404-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5031 NW 168TH TER",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330554139",
            "telephone_number": "239-404-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON OREILLY",
        "first_name": "LEIDYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "20-121138",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-121138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.