Riedasiel Lugo

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-26-88716 Issued in FL

Practice address

1324 State Road 60 E
Lake Wales, FL 33853-4322

Phone

(863) 275-1102

NPI assigned

Jan 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Uptown Roots ABA LLC

  • Behavior Analyst
  • Davenport, FL
  • NPI 1568303626
  NPD Authorized official

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

{
    "created_epoch": "1641600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1720749047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 LYCASTE DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338379042",
            "telephone_number": "407-860-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 STATE ROAD 60 E",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534322",
            "telephone_number": "863-275-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGO",
        "first_name": "RIEDASIEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-08",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-26-88716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Rashida Lopez, DDS
• Stephanie Marie Lopez, HHA
• Melissa Ann Lovemore Wright, APRN
• Lozano Internal Medicine LLC
• Gilberto A Lozano, M.D.
• Edwina Patrice Mackroy-Snell, M.ED.
• Prerna Alfa Mall, DPM
• Ajay Kumar Mangal, M.D.
• Marc Edward Marchioli, PA
• Marilyn Frontera PLLC

• Behavior Analyst in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.