Active NPI
Lisandra Consuegra Largo
- Behavior Technician
- West Palm Beach, FL
National Provider Identifier
1235718073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 20144386
- Practice address
- 2240 Palm BCH LK Blvd
West Palm Beach, FL 33409-3410 - Phone
- (561) 429-5919
- NPI assigned
- Apr 7, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 20144386 | FL | Primary |
Addresses
Primary practice location
2240 Palm BCH LK Blvd
West Palm Beach, FL 33409-3410
Mailing address
198 Tropical Ave
West Palm Beach, FL 33415-1944
Phone (561) 729-8483
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 |
|---|---|---|---|
| 20144386 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1235718073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 TROPICAL AVE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334151944",
"telephone_number": "561-729-8483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 PALM BCH LK BLVD",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334093410",
"telephone_number": "561-429-5919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONSUEGRA LARGO",
"first_name": "LISANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-07",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "20144386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
- Consolidated Resources Health Care Fund I, L.P. (Lakeside Health Center)
- Consortia Health Long Term Care LLC
- Estelle Constable-Beresford, D.D.S.
- Susan Angela Constantine, ARNP
- Mihaela Alexandra Constantinescu Jr., M.D.
- Continental Dialysis Care Center LLC
- Continental Medical Center LLC
- Alicia Gioconda Contini
- Carlos S. Contreras, M.D.
- Erika Contreras, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.