Active NPI
Leidy Esther Marino
- Behavior Technician
- Homestead, FL
National Provider Identifier
1912537754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 19-101895
- Practice address
- 2615 Fairways Dr
Homestead, FL 33035-1173 - Phone
- (786) 426-3686
- Fax
- (305) 508-6697
- NPI assigned
- Jan 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 19-101895 | FL | Primary |
Addresses
Primary practice location
2615 Fairways Dr
Homestead, FL 33035-1173
Mailing address
22416 SW 89TH Path
Cutler Bay, FL 33190-1336
Phone (786) 278-0749
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19-101895 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Improved Behavior Therapy LLC | Past | Accepting new patients |
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.
-
- Behavior Analyst
- Miami, FL
- NPI 1467161612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579564800000",
"number": "1912537754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22416 SW 89TH PATH",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331901336",
"telephone_number": "786-278-0749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 FAIRWAYS DR",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330351173",
"telephone_number": "786-426-3686",
"fax_number": "305-508-6697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO",
"first_name": "LEIDY",
"middle_name": "ESTHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-21",
"last_updated": "2020-01-21",
"certification_date": "2020-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "19-101895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.