Individual provider Active NPI

Keilah Melissa Tufino

  • Behavior Analyst
  • Lakeland, FL
National Provider Identifier
1831914936
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-26-90746 Issued in FL
Practice address
454 W Pipkin Rd
Lakeland, FL 33813-2545
Phone
(863) 619-2809
NPI assigned
Nov 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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 1-26-90746 FL Primary

Addresses

Primary practice location

454 W Pipkin Rd
Lakeland, FL 33813-2545

Mailing address

454 W Pipkin Rd
Lakeland, FL 33813-2545
Phone (863) 242-1590

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-24-327804FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Behavioral Learning Experiences, Inc CurrentSince Nov 24, 2024 Accepting new patients

Locations

454 W Pipkin Rd
Lakeland, FL 33813

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": "1732233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1831914936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 W PIPKIN RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132545",
            "telephone_number": "863-242-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 W PIPKIN RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132545",
            "telephone_number": "863-619-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUFINO",
        "first_name": "KEILAH",
        "middle_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-22",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-26-90746",
            "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 Jun 16, 2026; 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.