Active NPI
Michelle Ann Luisa, BCBA
- Behavior Analyst
- Miami, FL
National Provider Identifier
1548772619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-36582
- Practice address
- 6303 Blue Lagoon Dr Ste 400
Miami, FL 33126-6040 - Phone
- (407) 925-4743
- NPI assigned
- Oct 30, 2017
- Last updated
- Jun 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Analyst | 103K00000X | 1-19-36582 | Primary | |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
6303 Blue Lagoon Dr Ste 400
Miami, FL 33126-6040
Mailing address
206 Harrogate PL
Longwood, FL 32779
Phone (407) 925-4743
Other practice location 1
501 E Kennedy Blvd Ste 1400
Tampa, FL 33602-5246
Phone (813) 638-0859
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breaking Labels ABA | Behavior Analyst | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Longwood, FL
- NPI 1376429084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1548772619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 HARROGATE PL",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "32779",
"telephone_number": "407-925-4743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6303 BLUE LAGOON DR STE 400",
"city": "MIAMI",
"state": "FL",
"postal_code": "331266040",
"telephone_number": "407-925-4743"
}
],
"practiceLocations": [
{
"address_1": "501 E Kennedy Blvd Ste 1400",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336025246",
"country_code": "US",
"telephone_number": "813-638-0859",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUISA",
"first_name": "MICHELLE",
"middle_name": "ANN",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-30",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-19-36582",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.