Active NPI
Lucas Simmons
- Behavior Analyst
- Eustis, FL
National Provider Identifier
1841936713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-25-83856
- Practice address
- 2785 S Bay St Ste a
Eustis, FL 32726-6591 - Phone
- (844) 668-6222
- Fax
- (888) 975-0599
- NPI assigned
- May 12, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-232020 | FL | |
| Behavior Analyst | 103K00000X | 1-25-83856 | FL | Primary |
Addresses
Primary practice location
2785 S Bay St Ste a
Eustis, FL 32726-6591
Mailing address
36439 Piney Ridge Blvd
Fruitland Park, FL 34731-5383
Phone (352) 272-3075
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-22-232020 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1841936713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36439 PINEY RIDGE BLVD",
"city": "FRUITLAND PARK",
"state": "FL",
"postal_code": "347315383",
"telephone_number": "352-272-3075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2785 S BAY ST STE A",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327266591",
"telephone_number": "844-668-6222",
"fax_number": "888-975-0599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "LUCAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-12",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-22-232020",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-25-83856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eustis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.