Luisa Ivon Alfonso

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

10104 Flair CT
Tampa, FL 33615-2635

Phone

(703) 249-3696

NPI assigned

Apr 22, 2021

Last updated

Apr 22, 2021By the provider in NPPES

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

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": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1114509866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10104 FLAIR CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152635",
            "telephone_number": "703-249-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10104 FLAIR CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152635",
            "telephone_number": "703-249-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFONSO",
        "first_name": "LUISA",
        "middle_name": "IVON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Marie Alfonso, D.O.
• Dayana Alfonso
• Dennis Anthony Alfonso, MD
• Eliger Alfonso
• Katie Alfonso
• Michelle L Alfonso, PHARMD
• Roxanne Alfonso
• Sophia Mariela Alfonso, PHARMD
• Willie Mae Alford, MS, RMHCI
• Alfredo Fernandez, MD, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.