Individual provider Active NPI

Anne-Valentine Boisvert

  • Behavior Technician
  • Lighthouse Point, FL
National Provider Identifier
1104583509
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
B216000936410 Issued in FL
Practice address
2230 NE 34TH CT
Lighthouse Point, FL 33064-7526
Phone
(561) 566-2537
NPI assigned
Nov 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X B216000936410 FL Primary

Addresses

Primary practice location

2230 NE 34TH CT
Lighthouse Point, FL 33064-7526

Mailing address

PO Box 5053
Lighthouse Point, FL 33074-5053

Other identifiers 1

IdentifierTypeStateIssuer
B216000936410MedicaidFL

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

LicenseStateTypeSpecialty
B216000936410FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1104583509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5053",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330745053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 NE 34TH CT",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647526",
            "telephone_number": "561-566-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOISVERT",
        "first_name": "ANNE-VALENTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "B216000936410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B216000936410",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lighthouse Point, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.