Active NPI
David F. Lelio, M.D.
- Behavior Technician
- Milton, FL
National Provider Identifier
1962420349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 6479 Caroline St
Milton, FL 32570-4502 - Phone
- (850) 910-4089
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | FL | Primary | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 2003-01254 | NC |
Addresses
Primary practice location
6479 Caroline St
Milton, FL 32570-4502
Mailing address
2071 Refuge Cir
Gulf Breeze, FL 32563-8872
Phone (704) 726-9614
Other practice location 1
2071 Refuge Cir
Gulf Breeze, FL 32563-8872
Phone (704) 726-9614
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003-01254 | NC | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1962420349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2071 REFUGE CIR",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325638872",
"telephone_number": "704-726-9614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6479 CAROLINE ST",
"city": "MILTON",
"state": "FL",
"postal_code": "325704502",
"telephone_number": "850-910-4089"
}
],
"practiceLocations": [
{
"address_1": "2071 Refuge Cir",
"address_purpose": "LOCATION",
"city": "Gulf Breeze",
"state": "FL",
"postal_code": "325638872",
"country_code": "US",
"telephone_number": "704-726-9614",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LELIO",
"first_name": "DAVID",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": null,
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NC",
"license": "2003-01254",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.