Robin Lane Dehainaut, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-09-5814 Issued in FL

Practice address

18946 North Dale Mabry
Lutz, FL 33548

Phone

(727) 241-0246

Fax

(727) 240-4720

NPI assigned

Nov 25, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Robin Elizabeth Lane Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Applied Behavior Approaches of Tampa Bay Inc

  • Community/Behavioral Health Agency
  • Lutz, FL
  • NPI 1174884134

  Behavior Analyst

  NPD Authorized official
• Tampa Choice Therapy LLC

  • Occupational Therapist
  • Lutz, FL
  • NPI 1184194623
  NPD

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1629306972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 LOTUS PATH",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33756",
            "telephone_number": "727-241-0246",
            "fax_number": "727-240-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18946 NORTH DALE MABRY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33548",
            "telephone_number": "727-241-0246",
            "fax_number": "727-240-4720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4809 Ehrlich Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336242073",
            "country_code": "US",
            "telephone_number": "727-455-9133",
            "fax_number": "727-420-4720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEHAINAUT",
        "first_name": "ROBIN",
        "middle_name": "LANE",
        "name_prefix": "Mrs.",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-25",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-09-5814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017480200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYSIS CERTIFICATION BOARD",
            "identifier": "1-09-5814",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "LANE",
            "middle_name": "ELIZABETH",
            "credential": "M.A., BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Lutz, FL
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.