Individual provider Active NPI

Elisdany Lopez Ceballos

  • Behavior Technician
  • North Miami Beach, FL
National Provider Identifier
1942197553
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-441723 Issued in FL
Practice address
18786 NE 18TH Ave Apt 126
North Miami Beach, FL 33179-4226
Phone
(786) 823-4028
NPI assigned
Jun 18, 2025
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-25-441723 FL Primary

Addresses

Primary practice location

18786 NE 18TH Ave Apt 126
North Miami Beach, FL 33179-4226

Mailing address

1701 NE 191St St Apt 416
North Miami Beach, FL 33179-4277
Phone (786) 823-4028

Other practice location 1

1701 NE 191st St Apt 416
North Miami Beach, FL 33179-4277
Phone (786) 823-4028

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-25-441723FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1942197553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 NE 191ST ST APT 416",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794277",
            "telephone_number": "786-823-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18786 NE 18TH AVE APT 126",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794226",
            "telephone_number": "786-823-4028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 NE 191st St Apt 416",
            "address_purpose": "LOCATION",
            "city": "North Miami Beach",
            "state": "FL",
            "postal_code": "331794277",
            "country_code": "US",
            "telephone_number": "786-823-4028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ CEBALLOS",
        "first_name": "ELISDANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-25-441723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.