Individual provider Active NPI

Lizar Lauriston

  • Behavior Technician
  • Pompano Beach, FL
National Provider Identifier
1861242737
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-333442 Issued in FL
Practice address
916 NE 4TH St
Pompano Beach, FL 33060-6416
Phone
(954) 212-9126
NPI assigned
Mar 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 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-24-333442 FL Primary

Addresses

Primary practice location

916 NE 4TH St
Pompano Beach, FL 33060-6416

Mailing address

916 NE 4TH St
Pompano Beach, FL 33060-6416

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-24-333442FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Abilities Inc. Behavior Technician CurrentSince Mar 31, 2024 Accepting new patients
Infinite Abilities Inc. PastSince Mar 31, 2024 Accepting new patients

Locations

916 NE 4th St
Pompano Beach, FL 33060
Phone (954) 212-9126

Organizations & group practices 2

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": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1861242737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 NE 4TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 NE 4TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606416",
            "telephone_number": "954-212-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURISTON",
        "first_name": "LIZAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-333442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.