Active NPI
Marlene P Lewis
- Behavior Technician
- Lehigh Acres, FL
National Provider Identifier
1730646217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2402 Del Ray PL
Lehigh Acres, FL 33936-4357 - Phone
- (954) 729-8153
- NPI assigned
- Feb 21, 2019
- Last updated
- Feb 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
2402 Del Ray PL
Lehigh Acres, FL 33936-4357
Mailing address
5245 Ramsey Way Ste 5
Fort Myers, FL 33907-2124
Phone (239) 691-6482
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA of Southwest Florida Corp. | Single Specialty | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Fort Myers Beach, FL
- NPI 1679065429
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1730646217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5245 RAMSEY WAY STE 5",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339072124",
"telephone_number": "239-691-6482",
"fax_number": "888-391-5328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2402 DEL RAY PL",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339364357",
"telephone_number": "954-729-8153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "MARLENE",
"middle_name": "P",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-21",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.