Individual provider Active NPI

Veronica Del Carmen Bustamante Lugo

  • Behavior Technician
  • Lehigh Acres, FL
National Provider Identifier
1639080674
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-26-523687 Issued in FL
Practice address
3 Vineyard St
Lehigh Acres, FL 33936-6503
Phone
(239) 850-9361
NPI assigned
Sep 16, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-26-523687 FL Primary

Addresses

Primary practice location

3 Vineyard St
Lehigh Acres, FL 33936-6503

Mailing address

3 Vineyard St
Lehigh Acres, FL 33936-6503
Phone (239) 850-9361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1639080674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 VINEYARD ST",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366503",
            "telephone_number": "239-850-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 VINEYARD ST",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339366503",
            "telephone_number": "239-850-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTAMANTE LUGO",
        "first_name": "VERONICA",
        "middle_name": "DEL CARMEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-26-523687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.