Lyndon Peter Delrosario, BCABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2225 Bemiss Rd
Suite D
Valdosta, GA 31602-4818

Phone

(904) 859-4845

NPI assigned

Nov 16, 2012

Last updated

Mar 29, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1427392240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 EMPIRE AVE",
            "address_2": "SUITE D",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072172",
            "telephone_number": "904-859-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 BEMISS RD",
            "address_2": "SUITE D",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316024818",
            "telephone_number": "904-859-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELROSARIO",
        "first_name": "LYNDON",
        "middle_name": "PETER",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-16",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.