Individual provider Active NPI

Michelle Loaiza

  • Behavior Analyst
  • Altamonte Springs, FL
National Provider Identifier
1023512183
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
022028700MedicaidFL

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

LicenseStateTypeSpecialty
1851890FLMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Accelerate Behavioral Health, LLC Behavior Analyst PastSince Jun 15, 2021 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.

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.

Verify at the official NPI Registry.