Lazaro Jesus Broche Ferrales

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-26-87622 Issued in FL

Practice address

1224 NW 22ND PL
Cape Coral, FL 33993-5974

Phone

(239) 299-5766

NPI assigned

Jun 8, 2023

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

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1558055749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 NW 22ND PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339935974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 NW 22ND PL",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339935974",
            "telephone_number": "239-299-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCHE FERRALES",
        "first_name": "LAZARO",
        "middle_name": "JESUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-08",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-26-87622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mahogany Brookins
• Jessica Rae Brooks, LMHC

• Behavior Analyst in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.