Ilacus LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

ILACUS LLC

Practice address

10207 N Valle Dr
Tampa, FL 33612-6570

Phone

(813) 858-4140

NPI assigned

May 19, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Raul Andres Nicolas Bosch

Title

Managing Member

Phone

(608) 520-2370

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1316877855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10207 N VALLE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126570",
            "telephone_number": "813-858-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10207 N VALLE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126570",
            "telephone_number": "813-858-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILACUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "NICOLAS BOSCH",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "ANDRES",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "608-520-2370",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.