Active NPI
Lasira L Nicholson
- Behavior Analyst
- Palm Beach Gardens, FL
National Provider Identifier
1023991940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 7108 Fairway Dr Ste 325
Palm Beach Gardens, FL 33418-3769 - Phone
- (855) 832-6727
- NPI assigned
- Jul 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
7108 Fairway Dr Ste 325
Palm Beach Gardens, FL 33418-3769
Mailing address
607 S Green Rd
Lake City, SC 29560-5428
Phone (843) 939-3051
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1023991940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 S GREEN RD",
"city": "LAKE CITY",
"state": "SC",
"postal_code": "295605428",
"telephone_number": "843-939-3051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7108 FAIRWAY DR STE 325",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334183769",
"telephone_number": "855-832-6727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "LASIRA",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-29",
"last_updated": "2025-07-29",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
- Bernard Ngueguim, PHARMD
- Nina Nicholas, PH.D.
- Semerah Nichols
- Danisha A Nicholson
- Kimberly Nicholson
- Marnie Nickels, ARNP
- Nicklaus Children's Hospital Palm Beach Gardens Outpatient Center (Nicklaus Children's Palm Beach Gardens Outpatient Center)
- Julie A Nicoletta, M.D.
- Alexandria Marie Niewiadomski, M.D
- Andrew R Noble, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.