Deangelo Julian Lewis

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2580 NW 5TH St
Pompano Beach, FL 33069-2247

Phone

(947) 217-8082

NPI assigned

Sep 20, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1194448746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 NW 5TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330692247",
            "telephone_number": "947-217-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 NW 5TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330692247",
            "telephone_number": "947-217-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DEANGELO",
        "middle_name": "JULIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "VELVETHEIST2019@GMAIL.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "9472178082",
            "address_1": "2580 NW 5th St",
            "city": "Pompano Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330692247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren Nicole Lev, AA
• Lyudmila Levina, LMHC
• Norman Hadley Levitan, LMFT
• Debra M Levy
• Dayne F. Lewis I
• Stephanie Diane Lewis, M.A. ED.
• Whitney Re'Nee Lewis
• Raymone Lexidor
• Lib, Inc.
• Robert John Liberti, BS

• Behavior Technician in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.