Jason David Lewis, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-19589 Issued in FL

Practice address

831 Irma Ave
Orlando, FL 32803-3806

Phone

(407) 796-2908

NPI assigned

Aug 9, 2016

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

Practice roles

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

• Lsa ABA

  • Behavior Analyst
  • Orlando, FL
  • NPI 1881478923
  NPD Authorized official

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1548714488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 ACADEMY CIR E",
            "address_2": "APT 107",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347448510",
            "telephone_number": "484-225-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 IRMA AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033806",
            "telephone_number": "407-796-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JASON",
        "middle_name": "DAVID",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-15-19589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene Alexander Lewis II, PA-C
• Grace Lewis, PT, DPT
• Grace-Ann Lewis
• Ian Oliver Lewis
• Irina Lewis
• Jazma Lewis
• Julie Ann Lewis, APRN
• Kenneth Randall Lewis, EDD, LMFT
• Kourtni Lewis, APRN
• Lemar M Lewis

• Behavior Analyst in Orlando, FL
• Providers in Orlando, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.