Leidys Martin

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-66648 Issued in FL

Practice address

14730 SW 157TH St
Miami, FL 33187-5577

Phone

(786) 510-4612

NPI assigned

Apr 9, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Angeli Lorem Services Inc

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1699521351
  NPD Authorized official
• Milestones Mental Aid Inc

  • Behavior Analyst
  • Miami, FL
  • NPI 1255078721
  NPD (past)

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1831652684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14730 SW 157TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331875577",
            "telephone_number": "786-808-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14730 SW 157TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331875577",
            "telephone_number": "786-510-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LEIDYS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-83103",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-66648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "1-23-66648",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-19-83103",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose Manuel Martin, RN
• Jose R Martin, MD
• Julio Antonio Martin, PH.D.
• Krystel Martin, APRN
• Lavonna Martin
• Lisa A Martin, CTRS
• Lissette Martin
• Lourdes Martin, L.C.S.W.
• Lucy Kristine Martin, MD
• Luis Orlando Martin

• Behavior Analyst in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.