Individual provider Active NPI

Shandrea Lawrence

  • Assistant Behavior Analyst
  • Plantation, FL
National Provider Identifier
1649719907
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-19-10583
Practice address
7420 NW 5TH St Ste 110
Plantation, FL 33317-1611
Phone
(954) 321-3595
NPI assigned
Feb 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-19-10583 Primary

Addresses

Primary practice location

7420 NW 5TH St Ste 110
Plantation, FL 33317-1611

Mailing address

7420 NW 5TH St Ste 110
Plantation, FL 33317-1611
Phone (954) 321-3595

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
Optimum Behavioral Services, LLC Behavior Analyst CurrentSince Mar 11, 2025 Accepting new patients

Locations

7420 NW 5th St
Ste 110
Plantation, FL 33317
Phone (954) 321-3593

14201 W Sunrise Blvd
Ste 208
Sunrise, FL 33323
Phone (754) 581-2064

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": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1649719907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 NW 5TH ST STE 110",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171611",
            "telephone_number": "954-321-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 NW 5TH ST STE 110",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171611",
            "telephone_number": "954-321-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "SHANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": "0-19-10583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.