Active NPI
Lara Conway
- Assistant Behavior Analyst
- Tampa, FL
National Provider Identifier
1760217830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- RBT-24-364416
- Practice address
- 3109 W Dr Martin Luther King Jr Blvd Ste And501
Tampa, FL 33607-6260 - Phone
- (813) 289-0760
- NPI assigned
- Sep 6, 2024
- Reactivated
- Sep 30, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | RBT-24-364416 | MD | Primary |
Addresses
Primary practice location
3109 W Dr Martin Luther King Jr Blvd Ste And501
Tampa, FL 33607-6260
Mailing address
3109 W Dr Martin Luther King Jr Blvd Ste And501
Tampa, FL 33607-6260
Phone (813) 289-0760
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-24-364416 | MD | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1760217830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3109 W DR MARTIN LUTHER KING JR BLVD STE AND501",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076260",
"telephone_number": "813-289-0760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3109 W DR MARTIN LUTHER KING JR BLVD STE AND501",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076260",
"telephone_number": "813-289-0760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONWAY",
"first_name": "LARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-06",
"last_updated": "2024-09-30",
"certification_date": "2024-09-06",
"deactivation_date": "2024-09-09",
"reactivation_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "MD",
"license": "RBT-24-364416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.