Individual provider Active NPI

Elizabeth Brera Torres

  • Behavior Analyst
  • Lakeland, FL
National Provider Identifier
1780137653
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
5147 S Lakeland Dr Ste 3
Lakeland, FL 33813-2610
Phone
(786) 389-9721
NPI assigned
Jul 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

5147 S Lakeland Dr Ste 3
Lakeland, FL 33813-2610

Mailing address

4086 Sundance Place Loop
Mulberry, FL 33860-0150
Phone (786) 389-9721

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

OrganizationSpecialtyStatusNew patients
You Are the Sunshine Autism Services Inc Behavior Analyst CurrentSince Feb 25, 2024 Accepting new patients
Vocational Development Group, LLC Behavior Analyst PastSince Oct 1, 2021 Accepting new patients
Vocational Development Group, LLC Behavior Analyst PastSince Oct 1, 2021 Accepting new patients

Locations

5147 S Lakeland Dr
Ste 3
Lakeland, FL 33813
Phone (786) 389-9721

Organizations & group practices 3

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": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1780137653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4086 SUNDANCE PLACE LOOP",
            "city": "MULBERRY",
            "state": "FL",
            "postal_code": "338600150",
            "telephone_number": "786-389-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5147 S LAKELAND DR STE 3",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132610",
            "telephone_number": "786-389-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRERA TORRES",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.

Verify at the official NPI Registry.