Active NPI
Silas Doku
- Behavior Analyst
- Lake Wales, FL
National Provider Identifier
1508722364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- RBT25498660
- Practice address
- 1324 FL-60
Lake Wales, FL 33853 - Phone
- (863) 275-1102
- NPI assigned
- Dec 24, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | RBT25498660 | FL | Primary |
Addresses
Primary practice location
1324 FL-60
Lake Wales, FL 33853
Mailing address
2621 Sunset Place Dr
Lake Wales, FL 33898-3911
Phone (954) 621-5552
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT25498660 | FL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766534400000",
"number": "1508722364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 SUNSET PLACE DR",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "338983911",
"telephone_number": "954-621-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 FL-60",
"city": "LAKE WALES",
"state": "FL",
"postal_code": "33853",
"telephone_number": "863-275-1102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOKU",
"first_name": "SILAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-12-24",
"last_updated": "2025-12-24",
"certification_date": "2025-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "RBT25498660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Wales, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.