Active NPI
Lacee O'Shea, BCBA
- Behavior Analyst
- Port Orange, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-22-59144
- Practice address
- 6824 Vintage LN
Port Orange, FL 32128-4093 - Phone
- (757) 375-3461
- NPI assigned
- Sep 20, 2016
- Last updated
- Mar 19, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Technician | 106S00000X | RBT-19-91328 | FL | |
| Behavior Analyst | 103K00000X | 1-22-59144 | FL | Primary |
Addresses
Primary practice location
6824 Vintage LN
Port Orange, FL 32128-4093
Mailing address
1202 Tech Blvd Ste 103
Tampa, FL 33619-7863
Phone (813) 438-6796
Other practice location 1
5325 16th St
Vero Beach, FL 32966-2316
Phone (309) 453-4341
Other practice location 2
121 N Highland St
Mount Dora, FL 32757-5764
Phone (352) 720-5194
Other practice location 3
500 E Colonial Dr
Orlando, FL 32803-4510
Phone (407) 218-4340
Other practice location 4
17435 US Highway 441 Ste 101
Mount Dora, FL 32757-6750
Phone (352) 434-0455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105097600 | 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 |
|---|---|---|---|
| RBT-19-91328 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metamorphosis Therapy, LLC | Behavior Analyst | Current | Accepting new patients |
| Metamorphosis Therapy LLC | Behavior Analyst | Current | Accepting new patients |
| Ertel ABA LLC | Current | Accepting new patients | |
| KNR Therapy, LLC | Behavior Analyst | Current | Accepting new patients |
| Florida Autism Center | Behavior Analyst | Past | Accepting new patients |
Locations
1202 Tech Blvd
Ste 103
Tampa, FL 33619
Phone (813) 547-5413
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1174089395
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Behavior Analyst
-
- Behavior Analyst
- Mount Dora, FL
- NPI 1609309384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1033667985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 TECH BLVD STE 103",
"city": "TAMPA",
"state": "FL",
"postal_code": "336197863",
"telephone_number": "813-438-6796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6824 VINTAGE LN",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321284093",
"telephone_number": "757-375-3461"
}
],
"practiceLocations": [
{
"address_1": "5325 16th St",
"address_purpose": "LOCATION",
"city": "Vero Beach",
"state": "FL",
"postal_code": "329662316",
"country_code": "US",
"telephone_number": "309-453-4341",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "121 N Highland St",
"address_purpose": "LOCATION",
"city": "Mount Dora",
"state": "FL",
"postal_code": "327575764",
"country_code": "US",
"telephone_number": "352-720-5194",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 E Colonial Dr",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328034510",
"country_code": "US",
"telephone_number": "407-218-4340",
"fax_number": "407-218-4303",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17435 US Highway 441 Ste 101",
"address_purpose": "LOCATION",
"city": "Mount Dora",
"state": "FL",
"postal_code": "327576750",
"country_code": "US",
"telephone_number": "352-434-0455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'SHEA",
"first_name": "LACEE",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-20",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-19-91328",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-22-59144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105097600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.