Kelly Leng Lau

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-19-92207 Issued in FL

Practice address

1000 NW 65TH St Ste 201
Fort Lauderdale, FL 33309-1113

Phone

(855) 832-6727

NPI assigned

Jul 23, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1003469537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12850 W STATE ROAD 84 # LOTE18-7",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333253396",
            "telephone_number": "405-385-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NW 65TH ST STE 201",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091113",
            "telephone_number": "855-832-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "KELLY",
        "middle_name": "LENG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-92207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maverick Aaron Lasker, DO
• Thalia Lastra
• Latitude North Corporation
• Thomas C Latrielle, DC
• Daniella D Lau
• Trent Lau, MD
• Karina Grace Lauciello, DNP, APRN, CRNA
• Lauderdale Chiromed Centers, Inc
• Lauderdale Chiropractic Center Inc
• Lauderdale Dental and Implant Center, PLLC

• Behavior Technician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.