Nathaly Fiorella Tasca Lizardo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-370133 Issued in FL

Practice address

3832 SW 33Rd CT
West Park, FL 33023-5631

Phone

(407) 450-9434

NPI assigned

Aug 20, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1174355853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 LAKE DEBRA DR APT 2727",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356654",
            "telephone_number": "407-450-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3832 SW 33RD CT",
            "city": "WEST PARK",
            "state": "FL",
            "postal_code": "330235631",
            "telephone_number": "407-450-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASCA LIZARDO",
        "first_name": "NATHALY",
        "middle_name": "FIORELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "RBT-24-370133",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-370133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in West Park, FL
• Providers in West Park, 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 22, 2024; 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.