Active NPI
Jeffrey Luisi
- Behavior Technician
- Orlando, FL
National Provider Identifier
1871107706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 644 Ferguson Dr
Orlando, FL 32805-1014 - Phone
- (407) 574-4629
- NPI assigned
- Sep 8, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
644 Ferguson Dr
Orlando, FL 32805-1014
Mailing address
3831 W Vine St Ste 60
Kissimmee, FL 34741-4650
Phone (407) 559-4854
Other practice location 1
3831 W Vine St Ste 60
Kissimmee, FL 34741-4650
Phone (407) 559-4854
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breakthrough Behavior, LLC | Past | Accepting new patients |
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.
-
- Behavior Analyst
- Monterey, CA
- NPI 1306202940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1871107706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3831 W VINE ST STE 60",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414650",
"telephone_number": "407-559-4854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "644 FERGUSON DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328051014",
"telephone_number": "407-574-4629"
}
],
"practiceLocations": [
{
"address_1": "3831 W Vine St Ste 60",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347414650",
"country_code": "US",
"telephone_number": "407-559-4854",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUISI",
"first_name": "JEFFREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-08",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"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 Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.