Individual provider Active NPI

Alexandria Breton Lampros

  • Behavior Analyst
  • Lake Mary, FL
National Provider Identifier
1215383476
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-39467 Issued in FL
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

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
B635016955860FLMDPerfusionist

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.

Verify at the official NPI Registry.