Maria Jose Pesantez Lanas

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-20-1144 Issued in FL

Practice address

730 Sand Lake Rd Ste 176
Orlando, FL 32809-7747

Phone

(407) 412-6114

NPI assigned

Apr 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1083356356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 SAND LAKE RD STE 176",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 SAND LAKE RD STE 176",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097747",
            "telephone_number": "407-412-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESANTEZ LANAS",
        "first_name": "MARIA",
        "middle_name": "JOSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-08-19",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-22-20-1144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113239200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpesantez@earlyaba.com",
            "affiliation": "N",
            "address_1": "730 Sand Lake Rd Ste 176",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328097747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Behavior Technician in Orlando, FL
• Providers in Orlando, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.