Active NPI
Alexandria Breton Lampros
- Behavior Analyst
- Lake Mary, FL
National Provider Identifier
1215383476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-39467
- Practice address
- 305 Waymont CT Ste 101
Lake Mary, FL 32746-3566 - Phone
- (954) 850-1920
- NPI assigned
- May 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Perfusionist | 242T00000X | B635016955860 | FL | |
| Behavior Analyst | 103K00000X | 1-19-39467 | FL | Primary |
Addresses
Primary practice location
305 Waymont CT Ste 101
Lake Mary, FL 32746-3566
Mailing address
305 Waymont CT Ste 101
Lake Mary, FL 32746-3566
Phone (954) 850-1920
Other practice location 1
907 Outer Rd Ste B
Orlando, FL 32814-6601
Phone (855) 832-6727
Other practice location 2
2733 NE 21st St
Fort Lauderdale, FL 33305-3614
Phone (954) 850-1920
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
| License | State | Type | Specialty |
|---|---|---|---|
| B635016955860 | FL | MD | Perfusionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1215383476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 WAYMONT CT STE 101",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327463566",
"telephone_number": "954-850-1920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 WAYMONT CT STE 101",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327463566",
"telephone_number": "954-850-1920"
}
],
"practiceLocations": [
{
"address_1": "907 Outer Rd Ste B",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328146601",
"country_code": "US",
"telephone_number": "855-832-6727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2733 NE 21st St",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333053614",
"country_code": "US",
"telephone_number": "954-850-1920",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRETON LAMPROS",
"first_name": "ALEXANDRIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-06",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "242T00000X",
"taxonomy_group": "",
"desc": "Perfusionist",
"state": "FL",
"license": "B635016955860",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-19-39467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.