Active NPI
Michelle Loaiza
- Behavior Analyst
- Altamonte Springs, FL
National Provider Identifier
1023512183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-50484
- Practice address
- 455 Douglas Ave Ste 1855
Altamonte Springs, FL 32714-2588 - Phone
- (407) 212-1199
- Fax
- (407) 386-7037
- NPI assigned
- Mar 22, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1851890 | FL | |
| Behavior Analyst | 103K00000X | 1-21-50484 | Primary |
Addresses
Primary practice location
455 Douglas Ave Ste 1855
Altamonte Springs, FL 32714-2588
Mailing address
1124 Crosstown Way Apt 2408
Orlando, FL 32807-8213
Phone (321) 946-3422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022028700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1851890 | FL | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accelerate Behavioral Health, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Orlando, FL
- NPI 1194260497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633564800000",
"number": "1023512183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 CROSSTOWN WAY APT 2408",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328078213",
"telephone_number": "321-946-3422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 DOUGLAS AVE STE 1855",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327142588",
"telephone_number": "407-212-1199",
"fax_number": "407-386-7037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOAIZA",
"first_name": "MICHELLE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-22",
"last_updated": "2021-10-07",
"certification_date": "2021-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1851890",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-21-50484",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022028700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.