Individual provider Active NPI

Alexandra Lovera

  • Behavior Analyst
  • Coral Gables, FL
National Provider Identifier
1114390572
Registry record updated Nov 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
L163009936100 Issued in FL
Practice address
110 Phoenetia Ave
Coral Gables, FL 33134-3312
Phone
(305) 567-5881
NPI assigned
Nov 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X L163009936100 FL Primary

Addresses

Primary practice location

110 Phoenetia Ave
Coral Gables, FL 33134-3312

Mailing address

1155 Brickell Bay Dr Apt 601
Miami, FL 33131-2994

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
L163009936100FLMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Academy Past Accepting new patients
Crystal Academy Behavior Analyst Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446854400000",
    "number": "1114390572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 BRICKELL BAY DR APT 601",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PHOENETIA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343312",
            "telephone_number": "305-567-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVERA",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-07",
        "last_updated": "2015-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "L163009936100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2015; 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.