Chelsea L'Etoile-Lopes, BCBA
Individual provider Active NPI Behavior Analyst · Tampa, FL
NPI 1679069348 · NPPES record last updated Jul 18, 2019
Key facts
- NPI
- 1679069348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-19-35056 (FL)
- Practice address
- 10006 Palermo Cir Apt 104
Tampa, FL 33619-5036 - Phone
- (402) 215-6660
- NPI assigned
- Jul 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavior Services of Brevard County | Behavior Analyst | Past | Accepting new patients |
| Behavior Services of Brevard, Inc. | Behavior Analyst | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-19-35056 | FL | Yes |
Addresses
Primary practice location
10006 Palermo Cir Apt 104
Tampa, FL 33619-5036
Mailing address
10006 Palermo Cir Apt 104
Tampa, FL 33619-5036
Phone (402) 215-6660
Other practice location 1
550 Solutions Way
Rockledge, FL 32955-3620
Phone (321) 639-9800
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.