Active NPI
Tatiana Lilavois
- Behavior Technician
- Palm City, FL
National Provider Identifier
1871978387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 15-05458
- Practice address
- 1765 SW Captains PL
Palm City, FL 34990-1747 - Phone
- (772) 266-8727
- NPI assigned
- Jul 26, 2015
- 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 | 15-05458 | FL | Primary |
Addresses
Primary practice location
1765 SW Captains PL
Palm City, FL 34990-1747
Mailing address
4289 SW Winslow St
Port St Lucie, FL 34953-7232
Phone (305) 216-2480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019009600 | Medicaid | FL |
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 |
|---|---|---|---|
| 15-05458 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simplyaba, LLC | Current | Accepting new patients | |
| My Favorite Therapists, LLC | Past | Accepting new patients |
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.
-
- Behavior Analyst
- Palm City, FL
- NPI 1306244801
-
- Behavior Analyst
- Deerfield Beach, FL
- NPI 1992153217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597104000000",
"number": "1871978387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4289 SW WINSLOW ST",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349537232",
"telephone_number": "305-216-2480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1765 SW CAPTAINS PL",
"city": "PALM CITY",
"state": "FL",
"postal_code": "349901747",
"telephone_number": "772-266-8727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILAVOIS",
"first_name": "TATIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-26",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "15-05458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019009600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.