Lourdia Devalon

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

020504300 Issued in FL

Practice address

10850 S US Highway 1 Ste 2
Port St Lucie, FL 34952-6407

Phone

(772) 463-0440

NPI assigned

Sep 24, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1831673029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 S US HIGHWAY 1 STE 2",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349526407",
            "telephone_number": "772-463-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 S US HIGHWAY 1 STE 2",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349526407",
            "telephone_number": "772-463-0440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1007 Georgia Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349509353",
            "country_code": "US",
            "telephone_number": "772-672-9619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVALON",
        "first_name": "LOURDIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "020504300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.