Shavanna Douglas

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-25-16005 Issued in FL

Practice address

777 Brickell Ave Ste 500
Miami, FL 33131-2803

Phone

(305) 330-4660

Fax

(786) 217-1376

NPI assigned

Apr 21, 2025

Last updated

Apr 21, 2025By the provider in NPPES

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lotus Behavioral Interventions, LLC

  • Behavior Analyst
  • Homestead, FL
  • NPI 1154667681
  NPD

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1528854049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11233 SW 243RD TER",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330327124",
            "telephone_number": "786-397-2761",
            "fax_number": "786-217-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BRICKELL AVE STE 500",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312803",
            "telephone_number": "305-330-4660",
            "fax_number": "786-217-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "SHAVANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-25-16005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Medical Billing Services, Inc.
• Douglas Medical Center, LLC
• Douglas Rd Pharmacy Discount Corp
• Angelica Douglas
• Carol Douglas, PHARMD.
• Tanisha Douglas
• Carole Avril Douriez, MD
• Dayana Dovale Castillo
• Jessica Lane Ghering Dovenberg, MA/CCC-SLP
• Dowell Orthopedic Appliances, Inc.

• Assistant Behavior Analyst in Miami, FL
• Providers in Miami, FL by specialty
• Assistant Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.

Verify at the official NPI Registry.