Active NPI
Lisbet Moreno Perez
- Behavior Technician
- Orlando, FL
National Provider Identifier
1790455137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-21-162635
- Practice address
- 8617 E Colonial Dr Ste 1100
Orlando, FL 32817-3919 - Phone
- (407) 895-0801
- NPI assigned
- Sep 16, 2021
- 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-21-162635 | FL | Primary |
Addresses
Primary practice location
8617 E Colonial Dr Ste 1100
Orlando, FL 32817-3919
Mailing address
4823 N Goldenrod Rd Apt a
Winter Park, FL 32792-9184
Phone (786) 394-0849
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-21-162635 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Latino Leadership, Inc. | Behavior Technician | Current | Accepting new patients |
Locations
8617 E Colonial Dr
Ste 1100
Orlando, FL 32817
Phone (407) 895-0811
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": "1631750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1790455137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4823 N GOLDENROD RD APT A",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327929184",
"telephone_number": "786-394-0849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8617 E COLONIAL DR STE 1100",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328173919",
"telephone_number": "407-895-0801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORENO PEREZ",
"first_name": "LISBET",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-16",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-21-162635",
"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 Sep 16, 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.