Active NPI
Luis E Dominguez Ledesma, RBT
- Behavior Technician
- Miami, FL
National Provider Identifier
1932715067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-129550
- Practice address
- 5845 SW 144TH Circle PL
Miami, FL 33183-1073 - Phone
- (305) 776-0728
- Fax
- (561) 828-3124
- NPI assigned
- Sep 23, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | RBT-20-129550 | FL | Primary |
Addresses
Primary practice location
5845 SW 144TH Circle PL
Miami, FL 33183-1073
Mailing address
10756 N Kendall Dr Apt J1
Miami, FL 33176-1428
Phone (786) 339-0132
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 |
|---|---|---|---|
| RBT-20-129550 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ea Behavioral Services LLC | Current | Accepting new patients | |
| Behavior Plus Inc, | Past | Accepting new patients |
Organizations & group practices 2
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 1417669664
-
- Behavior Analyst
- Miami, FL
- NPI 1619404480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1932715067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10756 N KENDALL DR APT J1",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761428",
"telephone_number": "786-339-0132",
"fax_number": "561-828-3124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5845 SW 144TH CIRCLE PL",
"city": "MIAMI",
"state": "FL",
"postal_code": "331831073",
"telephone_number": "305-776-0728",
"fax_number": "561-828-3124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUEZ LEDESMA",
"first_name": "LUIS",
"middle_name": "E",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-23",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-20-129550",
"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 Sep 23, 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.