Individual provider Active NPI

Annabelly Luis

  • Behavior Technician
  • Miami Lakes, FL
National Provider Identifier
1346768611
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
4834 NW 167TH St
Miami Lakes, FL 33014-6426
Phone
(239) 321-1002
Fax
(305) 625-6236
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

4834 NW 167TH St
Miami Lakes, FL 33014-6426

Mailing address

4834 NW 167TH St
Miami Lakes, FL 33014-6426
Phone (239) 321-1002

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lighting Behavior Services LLC CurrentSince Jul 24, 2022 Accepting new patients
Magik Assisted Living LLC Current Accepting new patients
Lighting Behavior Services LLC Current Accepting new patients

Locations

4834 NW 167th St
Miami Lakes, FL 33014
Phone (239) 321-1002

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346768611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4834 NW 167TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146426",
            "telephone_number": "239-321-1002",
            "fax_number": "305-625-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4834 NW 167TH ST",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146426",
            "telephone_number": "239-321-1002",
            "fax_number": "305-625-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUIS",
        "first_name": "ANNABELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

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