Individual provider Active NPI

Lesley Victor

  • Behavior Analyst
  • Mount Dora, FL
National Provider Identifier
1578128724
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
17435 US Highway 441 Ste 101
Mount Dora, FL 32757-6750
Phone
(352) 434-0455
Fax
(352) 385-7264
NPI assigned
May 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

17435 US Highway 441 Ste 101
Mount Dora, FL 32757-6750

Mailing address

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone (407) 915-7729

Other practice location 1

11476 S Apopka Vineland Rd Ste 118
Orlando, FL 32836-7006
Phone (407) 955-4001

Other practice location 2

11476 S Apopka Vineland Rd Ste 118
Orlando, FL 32836-7006
Phone (407) 955-4001

Other practice location 3

514 S Hunt Club Blvd
Apopka, FL 32703
Phone (407) 613-2335

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

OrganizationSpecialtyStatusNew patients
Florida Autism Center Behavior Analyst PastSince Jul 13, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1578128724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL PKWY STE 200",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465028",
            "telephone_number": "407-915-7729",
            "fax_number": "407-588-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17435 US HIGHWAY 441 STE 101",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576750",
            "telephone_number": "352-434-0455",
            "fax_number": "352-385-7264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11476 S Apopka Vineland Rd Ste 118",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328367006",
            "country_code": "US",
            "telephone_number": "407-955-4001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11476 S Apopka Vineland Rd Ste 118",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328367006",
            "country_code": "US",
            "telephone_number": "407-955-4001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "514 S Hunt Club Blvd",
            "address_purpose": "LOCATION",
            "city": "Apopka",
            "state": "FL",
            "postal_code": "32703",
            "country_code": "US",
            "telephone_number": "407-613-2335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICTOR",
        "first_name": "LESLEY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-03",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.