Lisandra Pena Barcelo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

12140 SW 179TH Ter
Miami, FL 33177-2323

Phone

(305) 562-7542

NPI assigned

Nov 3, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sunny Behavior LLC

  • Behavior Analyst
  • Cutler Bay, FL
  • NPI 1790206472

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1669984225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12140 SW 179TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772323",
            "telephone_number": "305-562-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12140 SW 179TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331772323",
            "telephone_number": "305-562-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA BARCELO",
        "first_name": "LISANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-78679",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana L Pena Acosta
• Xiomara Pena Alvarez Buylla, RBT, B.S
• Herly D Pena Amador
• Genesis Alondra Pena Aponte
• Eladia Gaudencia Pena Atucha
• Aixa Lisbet Pena Bernardo
• Maria Victoria Pena Bientz
• Tamara Pena Caballero, APRN
• Marco Aurelio Pena Cherician
• Andria Pena Coego, APRN

• Behavior Technician in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.