IndividualActive
Jorge Licea
NPI 1881161180 · Behavior Technician · Doral, FL
Provider details
- NPI number
- 1881161180
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9600 Nw 25th St Ste Ph
Doral, FL 33172
Phone: (305) 597-3861
Fax: (305) 597-3863
Street-level locationGet directions
Mailing address
9600 Nw 25th St Ste Ph
Doral, FL 33172-1416
Additional practice locations (1)
- 2500 Nw 107th Ave Ste 200Doral, FL 33172-5923Phone: (305) 597-3861
Registry dates
- Enumerated
- 2018-10-25
- Last updated
- 2018-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.