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NPI Code Detail

MEDICARE: LEONARDO VARGAS

MEDICARE: LEONARDO VARGAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871988857
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEONARDO VARGAS
Provider Business Mailing Address
First Line : 1742 W 57TH TER
Second Line :
City : HIALEAH
State : FL
Zip : 33012-6826
Country : US
Telephone Number : 305-587-5583
Fax Number :
Provider Business Practice Location Address
First Line : 4800 W FLAGLER ST STE 215
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-1402
Country : US
Telephone Number : 305-508-5580
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2015
Last Update Date : 01/13/2026

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Directions to “ LEONARDO VARGAS ” Practice Location

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