Lisandra Abdon
Individual provider Active NPI Behavior Technician · Cutler Bay, FL
NPI 1013422112 · NPPES record last updated Dec 11, 2017
Key facts
- NPI
- 1013422112
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 19920 SW 88TH PL
Cutler Bay, FL 33157-0610 - Phone
- (786) 278-4170
- NPI assigned
- Dec 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
19920 SW 88TH PL
Cutler Bay, FL 33157-0610
Mailing address
19920 SW 88TH PL
Cutler Bay, FL 33157-0610
Phone (786) 278-4170
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021973900 | Medicaid | FL |
Other providers in Cutler Bay, FL
- Homero Luis Abbott
- Abby & Associates SLP, LLC
- Felice P Abby
- Abc Adult Day Care, LLC
- Abc-Alsy Adult Day Care II
- Deborah Abella
- Merin Abraham
- Tony Thomas Abraham
- Yasmin Abraham
- Nancy Abreu Martinez
All providers in Cutler Bay, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.