Active NPI
Lashaunda Mack
- Behavior Analyst
- Homestead, FL
National Provider Identifier
1629578935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 14311 SW 258TH LN
Homestead, FL 33032 - Phone
- (804) 514-2386
- NPI assigned
- Feb 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
14311 SW 258TH LN
Homestead, FL 33032
Mailing address
14311 SW 258TH LN
Homestead, FL 33032-6771
Phone (804) 514-2386
Other practice location 1
2500 NW 107th Ave Ste 200
Doral, FL 33172-5923
Phone (804) 514-2386
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1629578935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14311 SW 258TH LN",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330326771",
"telephone_number": "804-514-2386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14311 SW 258TH LN",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "33032",
"telephone_number": "804-514-2386"
}
],
"practiceLocations": [
{
"address_1": "2500 NW 107th Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Doral",
"state": "FL",
"postal_code": "331725923",
"country_code": "US",
"telephone_number": "804-514-2386",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACK",
"first_name": "LASHAUNDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-14",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.