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1568354009 NPI number — ROBERTO ARTURO REYES LEIVA BCBA

NPI Number: 1568354009
Health Care Provider/Practitioner: ROBERTO ARTURO REYES LEIVA BCBA

Information about “1568354009” NPI (ROBERTO ARTURO REYES LEIVA BCBA) exists in 1568354009 in HTML format HTML  |  1568354009 in plain Text format TXT  |  1568354009 in PDF (Portable Document Format) PDF  |  1568354009 in an XML format XML  formats.

NPI Number : 1568354009 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568354009",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "REYES LEIVA",
    "FirstName": "ROBERTO",
    "MiddleName": "ARTURO",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "BCBA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "344 W 46TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HIALEAH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33012-3947",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "786-744-0828",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "704 WASHINGTON AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HOMESTEAD",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33030-6012",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "305-481-2198",
    "PracticeLocationAddressFaxNumber": "305-402-8251",
    "EnumerationDate": "07/18/2025",
    "LastUpdateDate": "07/18/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103K00000X",
        "TaxonomyName": "Behavior Analyst",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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