Active NPI
Anais Portal Lumpuy
- Behavior Technician
- Orlando, FL
National Provider Identifier
1861241671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-24-329324
- Practice address
- 50 Willow Dr
Orlando, FL 32807-3220 - Phone
- (407) 895-0801
- NPI assigned
- May 14, 2024
- 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-24-329324 | FL | Primary |
Addresses
Primary practice location
50 Willow Dr
Orlando, FL 32807-3220
Mailing address
877 Trumbull St
Deltona, FL 32725-4592
Phone (407) 280-0932
Other practice location 1
7212 Curry Ford Rd Bldg 3
Orlando, FL 32822-5806
Phone (407) 574-8481
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-24-329324 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Latino Leadership, Inc. | Current | Accepting new patients | |
| ABA Group & Associates Inc | Past | Accepting new patients | |
| Latino Leadership, Inc. | Behavior Technician | Past | Accepting new patients |
Locations
50 Willow Dr
Orlando, FL 32807
Phone (321) 346-8450
Organizations & group practices 3
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.
-
- Behavior Analyst
- Sanford, FL
- NPI 1356001473
-
- Behavior Analyst
- Orlando, FL
- NPI 1790418945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1861241671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "877 TRUMBULL ST",
"city": "DELTONA",
"state": "FL",
"postal_code": "327254592",
"telephone_number": "407-280-0932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 WILLOW DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328073220",
"telephone_number": "407-895-0801"
}
],
"practiceLocations": [
{
"address_1": "7212 Curry Ford Rd Bldg 3",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328225806",
"country_code": "US",
"telephone_number": "407-574-8481",
"fax_number": "786-513-7805",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PORTAL LUMPUY",
"first_name": "ANAIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-14",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-24-329324",
"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 Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.