Individual provider Active NPI

Lanesha Walker

  • Behavior Analyst
  • Boca Raton, FL
National Provider Identifier
1679957161
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-24-78295 Issued in FL
Practice address
2499 Glades Rd Ste 109
Boca Raton, FL 33431-7260
Phone
(561) 350-8592
NPI assigned
Jul 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-19-10535 FL
Behavior Technician 106S00000X RBT-17-29678 FL
Behavior Analyst 103K00000X 1-24-78295 FL Primary

Addresses

Primary practice location

2499 Glades Rd Ste 109
Boca Raton, FL 33431-7260

Mailing address

1780 NE 191St St Apt 301
Miami, FL 33179-4238
Phone (786) 991-4545

Other practice location 1

9600 NW 25th St Ste Ph
Doral, FL 33172
Phone (305) 597-3861

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

State licenses

LicenseStateTypeSpecialty
RBT-17-29678FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Developmental Applied Behavior Solutions, Inc Behavior Analyst Past Accepting new patients

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": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1679957161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 NE 191ST ST APT 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331794238",
            "telephone_number": "786-991-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 GLADES RD STE 109",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317260",
            "telephone_number": "561-350-8592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9600 NW 25th St Ste Ph",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "33172",
            "country_code": "US",
            "telephone_number": "305-597-3861",
            "fax_number": "305-597-3863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "LANESHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-19-10535",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-17-29678",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-24-78295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.