Active NPI
Lela Simmons, BCBA
- Behavior Analyst
- Oviedo, FL
National Provider Identifier
1104056647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-11-8482
- Practice address
- 848 Executive Dr
Oviedo, FL 32765-7699 - Phone
- (407) 678-8889
- Fax
- (407) 678-8885
- NPI assigned
- Jul 17, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | T460525846680 | FL | |
| Behavior Analyst | 103K00000X | 1-11-8482 | FL | Primary |
Addresses
Primary practice location
848 Executive Dr
Oviedo, FL 32765-7699
Mailing address
5609 Westview Dr
Orlando, FL 32810-3938
Phone (407) 748-5290
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 |
|---|---|---|---|
| T460525846680 | FL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1104056647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5609 WESTVIEW DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328103938",
"telephone_number": "407-748-5290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "848 EXECUTIVE DR",
"city": "OVIEDO",
"state": "FL",
"postal_code": "327657699",
"telephone_number": "407-678-8889",
"fax_number": "407-678-8885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "LELA",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-17",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "T460525846680",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-11-8482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oviedo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.