Individual provider Active NPI

Flavia Maria Proenza

  • Behavior Technician
  • Lakeland, FL
National Provider Identifier
1013812874
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
262858055 Issued in FL
Practice address
238 N Massachusetts Ave
Lakeland, FL 33801-4987
Phone
(305) 564-1241
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 262858055 FL Primary

Addresses

Primary practice location

238 N Massachusetts Ave
Lakeland, FL 33801-4987

Mailing address

7220 Brown Fox Run
Lakeland, FL 33810-2636
Phone (407) 485-7331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1013812874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 BROWN FOX RUN",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102636",
            "telephone_number": "407-485-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 N MASSACHUSETTS AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338014987",
            "telephone_number": "305-564-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROENZA",
        "first_name": "FLAVIA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "262858055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.