Individual provider Active NPI

Lyla Shaina Berlant, BCBA

  • Behavior Analyst
  • Orlando, FL
National Provider Identifier
1417475351
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-29229 Issued in FL
Practice address
924 Delaney Ave
Orlando, FL 32806-1246
Phone
(407) 247-5165
NPI assigned
Aug 30, 2017
Last updated
Oct 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-29229 FL Primary
Behavior Analyst 103K00000X 0-16-6981

Addresses

Primary practice location

924 Delaney Ave
Orlando, FL 32806-1246

Mailing address

4455 Ironstone Cir
Orlando, FL 32812-8025
Phone (407) 252-7268

Other practice location 1

1200 N Central Ave
Kissimmee, FL 34741-4450
Phone (407) 978-6085

Other practice location 2

148 Wilshire Blvd
Casselberry, FL 32707-5372
Phone (321) 972-4039

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

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1417475351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 IRONSTONE CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328128025",
            "telephone_number": "407-252-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 DELANEY AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061246",
            "telephone_number": "407-247-5165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N Central Ave",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347414450",
            "country_code": "US",
            "telephone_number": "407-978-6085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "148 Wilshire Blvd",
            "address_purpose": "LOCATION",
            "city": "Casselberry",
            "state": "FL",
            "postal_code": "327075372",
            "country_code": "US",
            "telephone_number": "321-972-4039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERLANT",
        "first_name": "LYLA",
        "middle_name": "SHAINA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-18-29229",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "0-16-6981",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.

Verify at the official NPI Registry.