Active NPI
Valentina Specoli
- Behavior Analyst
- Lauderdale Lakes, FL
National Provider Identifier
1083150627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-21-48964
- Practice address
- 4620 N State Road 7 Ste 300
Lauderdale Lakes, FL 33319-5867 - Phone
- (561) 323-6593
- NPI assigned
- Jan 6, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-21-48964 | FL | Primary |
Addresses
Primary practice location
4620 N State Road 7 Ste 300
Lauderdale Lakes, FL 33319-5867
Mailing address
4620 North Side Rd 7
Suite 300
Lauderdale Lakes, FL 33309
Phone (561) 323-6593
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| O10574100 | Other | FL | APD PROVIDERS |
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": "1483660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1083150627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4620 NORTH SIDE RD 7",
"address_2": "SUITE 300",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "33309",
"telephone_number": "561-323-6593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4620 N STATE ROAD 7 STE 300",
"city": "LAUDERDALE LAKES",
"state": "FL",
"postal_code": "333195867",
"telephone_number": "561-323-6593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPECOLI",
"first_name": "VALENTINA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-06",
"last_updated": "2024-02-27",
"certification_date": "2024-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-21-48964",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APD PROVIDERS",
"identifier": "O10574100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lauderdale Lakes, FL
- South Florida Group Services LLC
- South Florida Group Services, LLC
- South Florida Nephrology Associates P a
- South Florida Surgical Specialists, LLC
- Sovereign Business Management, Inc. (Positive Imprints)
- Eugenie Spence, BSC, MA, DCC
- St Croix Medical Group, Inc.
- St Croix Medical Pharmacy
- St Johns Rehabilitation Hospital and Nursing Center Inc (St. Anthony's Rehabilitation Hospital)
- St Johns Rehabilitation Hospital and Nursing Center Inc (St Johns Nursing Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.