Individual provider Active NPI

Yeslan Perez Leyva Sr.

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1972104446
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
55 NW 33Rd Ave
Miami, FL 33125-4920
Phone
(786) 870-2571
NPI assigned
Nov 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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 FL Primary

Addresses

Primary practice location

55 NW 33Rd Ave
Miami, FL 33125-4920

Mailing address

55 NW 33Rd Ave
Miami, FL 33125-4920
Phone (786) 870-2571

Other identifiers 1

IdentifierTypeStateIssuer
RBT-20127851MedicaidFL

Electronic endpoints 13

TypeEndpointUseAffiliation
CONNECT URL Miami
CONNECT URL Miami
CONNECT URL Miami
CONNECT URL Miami
CONNECT URL Miami
CONNECT URL Miami
CONNECT URL Miami
CONNECT URL Miami
CONNECT URL Miami
CONNECT URL Miami
CONNECT URL Miami
CONNECT URL Miami
CONNECT URL Miami

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

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1972104446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 NW 33RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254920",
            "telephone_number": "786-870-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NW 33RD AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254920",
            "telephone_number": "786-870-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ LEYVA",
        "first_name": "YESLAN",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RBT-20127851",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "address_1": "55 NW 33rd Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331254920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "address_1": "55 NW 33rd Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331254920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "address_1": "55 NW 33rd Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331254920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
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            "endpoint": "Miami",
            "affiliation": "N",
            "address_1": "55 NW 33rd Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331254920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "address_1": "55 NW 33rd Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331254920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "address_1": "55 NW 33rd Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331254920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "address_1": "55 NW 33rd Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331254920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "address_1": "55 NW 33rd Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331254920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "address_1": "55 NW 33rd Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331254920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "address_1": "55 NW 33rd Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331254920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "address_1": "55 NW 33rd Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331254920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "address_1": "55 NW 33rd Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331254920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Miami",
            "affiliation": "N",
            "address_1": "55 NW 33rd Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331254920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 2, 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.

Verify at the official NPI Registry.