Active NPI
Lyla Shaina Berlant, BCBA
- Behavior Analyst
- Orlando, FL
National Provider Identifier
1417475351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-29229
- Practice address
- 924 Delaney Ave
Orlando, FL 32806-1246 - Phone
- (407) 247-5165
- NPI assigned
- Aug 30, 2017
- Last updated
- Oct 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.