Individual provider Active NPI

Danairis Fonte Lago, RBT

  • Assistant Behavior Analyst
  • Tampa, FL
National Provider Identifier
1780348037
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
RBT-21-189803 Issued in FL
Practice address
5820 N Church Ave Unit 121
Tampa, FL 33614-5640
Phone
(813) 820-2314
NPI assigned
Oct 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X RBT-21-189803 FL Primary

Addresses

Primary practice location

5820 N Church Ave Unit 121
Tampa, FL 33614-5640

Mailing address

6913 N Lois Ave
Tampa, FL 33614-3855
Phone (786) 328-5064

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

LicenseStateTypeSpecialty
RBT-21-189803FLMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
All Behavior Community Inc PastSince Oct 24, 2021 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.

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1780348037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6913 N LOIS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143855",
            "telephone_number": "786-328-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 N CHURCH AVE UNIT 121",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336145640",
            "telephone_number": "813-820-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTE LAGO",
        "first_name": "DANAIRIS",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "RBT-21-189803",
            "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 Oct 22, 2021; 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.