Organization Active NPI

Uptown Roots ABA LLC

  • Behavior Analyst
  • Davenport, FL
National Provider Identifier
1568303626
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
UPTOWN ROOTS ABA LLC
Practice address
1195 Lycaste Dr
Davenport, FL 33837-9042
Phone
(407) 860-1368
NPI assigned
Apr 2, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Riedasiel Lugo, BCBANPI 1720749047
Title
Owner/Bcba
Phone
(407) 860-1368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1195 Lycaste Dr
Davenport, FL 33837-9042

Mailing address

1195 Lycaste Dr
Davenport, FL 33837-9042
Phone (407) 860-1368

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1775088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1568303626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 LYCASTE DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338379042",
            "telephone_number": "407-860-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 LYCASTE DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338379042",
            "telephone_number": "407-860-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN ROOTS ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "LUGO",
        "authorized_official_first_name": "RIEDASIEL",
        "authorized_official_title_or_position": "OWNER/BCBA",
        "authorized_official_telephone_number": "407-860-1368",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.