Individual provider Active NPI

Anais Portal Lumpuy

  • Behavior Technician
  • Orlando, FL
National Provider Identifier
1861241671
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-329324 Issued in FL
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

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RBT-24-329324FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Latino Leadership, Inc. CurrentSince Jul 21, 2024 Accepting new patients
ABA Group & Associates Inc PastSince May 1, 2024 Accepting new patients
Latino Leadership, Inc. Behavior Technician PastSince Jul 21, 2024 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.

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.

Verify at the official NPI Registry.