Individual provider Active NPI

Lisette Lacosta, BCBA

  • Behavior Analyst
  • Miami Springs, FL
National Provider Identifier
1174892053
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-38810
Practice address
657 South Dr Ste 403
Miami Springs, FL 33166-5926
Phone
(786) 860-5161
Fax
(855) 710-7707
NPI assigned
Dec 21, 2011
Last updated
Apr 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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 1-19-38810 Primary

Addresses

Primary practice location

657 South Dr Ste 403
Miami Springs, FL 33166-5926

Mailing address

7735 NW 48TH St Ste 110
Doral, FL 33166-5547
Phone (786) 860-5161

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lacosta Therapy, LLC Behavior Analyst CurrentSince Mar 1, 2022 Accepting new patients
Miami Behavioral Health Center Inc Mental Health Past Accepting new patients

Locations

7735 NW 48th St
Ste 110
Doral, FL 33166
Phone (786) 860-5161

657 South Dr
Ste 403
Miami Springs, FL 33166
Phone (786) 860-5161

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1174892053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7735 NW 48TH ST STE 110",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331665547",
            "telephone_number": "786-860-5161",
            "fax_number": "855-710-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 SOUTH DR STE 403",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665926",
            "telephone_number": "786-860-5161",
            "fax_number": "855-710-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACOSTA",
        "first_name": "LISETTE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-19-38810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.