Lisandra Socarras Velazquez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-316059 Issued in FL

Practice address

3419 Winkler Ave Apt 513
Fort Myers, FL 33916-8426

Phone

(239) 264-2230

NPI assigned

Dec 28, 2023

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1508635731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 WINKLER AVE APT 513",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339168426",
            "telephone_number": "239-264-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 WINKLER AVE APT 513",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339168426",
            "telephone_number": "239-264-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCARRAS VELAZQUEZ",
        "first_name": "LISANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-28",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-316059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Snyderman Shoes Inc.
• Hetty Zoe Snyderman, D.O.
• Sabrina Cava Soares
• Maxwell Sobel, M.D.
• Piotr Sobolewski, DNP
• Pooja Sofat, M.D.
• Christopher George Sofianos, M.D.
• Susanne Sogar
• Zohaib Sohail, MD
• Jerry Sojan, MD

• Behavior Technician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.