The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Pembroke Pines and Florida

160 active clinicians are listed under Behavior Analyst with a practice address in Pembroke Pines, FL (13,581 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pembroke Pines

0% of these 160 clinicians have the CMS telehealth indicator.

0% of these 160 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-12-09

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES FL 1-21-57421

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.

Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID

019560200 (FL)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2024

Behavior Analyst (license number reported to NPPES: FL 1-21-57421)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2024

Behavior Analyst

📍

Updated Practice Location January 10, 2022

Registered at 1401 SW 128TH TER APT H404, PEMBROKE PINES, FL 330274085 (Tel: 3052020354)

📍

Updated Business Mailing Address January 10, 2022

Registered at 1401 SW 128TH TER APT H404, PEMBROKE PINES, FL 330274085 (Tel: 3052020354)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2022

Assistant Behavior Analyst

📍

Updated Practice Location January 02, 2019

Registered at 92300 OVERSEAS HWY, TAVERNIER, FL 330702726 (Tel: 7863421716)

📍

Updated Practice Location July 12, 2018

Registered at 654 NE 9TH PL, HOMESTEAD, FL 33030 (Tel: 3052483488)

📍

Updated Business Mailing Address July 12, 2018

Registered at 28325 SW 152ND AVE APT 103, HOMESTEAD, FL 330331537 (Tel: 3052020354)

✅

NPI Profile Active October 25, 2016

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) October 25, 2016

Registered at 9761 SW 20TH ST, MIAMI, FL 331657604 (Tel: 7862346120)

📍

Business Mailing Address (Initial Record) October 25, 2016

Registered at 9761 SW 20TH ST, MIAMI, FL 331657604 (Tel: 7862346120)

👤

Provider Name / Credentials (Initial Record) October 25, 2016

Recorded as NANCY BOBADILLA LEON

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2016

Behavior Technician

🟢

Initial NPI Registration & Enumeration October 25, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1033661079

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 25, 2016

Last Update: December 09, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1401 Sw 128th Ter Apt H404

Pembroke Pines, FL 330274085

Phone: 3052020354

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.