Active NPI
Stacy Lespinasse
- Behavior Technician
- Orlando, FL
National Provider Identifier
1780162875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-59878
- Practice address
- 2154 Central Florida Pkwy Ste B2
Orlando, FL 32837 - Phone
- (636) 368-1117
- NPI assigned
- Aug 1, 2018
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-59878 | FL | Primary |
Addresses
Primary practice location
2154 Central Florida Pkwy Ste B2
Orlando, FL 32837
Mailing address
6573 Tanglewood Bay Dr Apt 1316
Orlando, FL 32821-7347
Phone (407) 932-8481
Other practice location 1
6573 Tanglewood Bay Dr Apt 1316
Orlando, FL 32821-7347
Phone (407) 932-8481
Other practice location 2
2154 Central Florida Pkwy Ste B2
Orlando, FL 32837
Phone (636) 368-1117
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-18-59878 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amazing Gains Behavior Therapy Services LLC | 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.
-
- Early Intervention Provider Agency
- Orlando, FL
- NPI 1518488212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566345600000",
"number": "1780162875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6573 TANGLEWOOD BAY DR APT 1316",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328217347",
"telephone_number": "407-932-8481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2154 CENTRAL FLORIDA PKWY STE B2",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32837",
"telephone_number": "636-368-1117"
}
],
"practiceLocations": [
{
"address_1": "6573 Tanglewood Bay Dr Apt 1316",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328217347",
"country_code": "US",
"telephone_number": "407-932-8481",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2154 Central Florida Pkwy Ste B2",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "32837",
"country_code": "US",
"telephone_number": "636-368-1117",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LESPINASSE",
"first_name": "STACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-01",
"last_updated": "2019-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-18-59878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.