Active NPI
Luciana Da Costa
- Behavior Analyst
- Homestead, FL
National Provider Identifier
1891353975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BACB438700
- Practice address
- 1513 SW 2ND CT
Homestead, FL 33030-6675 - Phone
- (786) 972-4700
- NPI assigned
- Jun 3, 2019
- Last updated
- Aug 4, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BACB438700 | FL | Primary |
| Behavior Technician | 106S00000X | RBT-19-88703 | FL |
Addresses
Primary practice location
1513 SW 2ND CT
Homestead, FL 33030-6675
Mailing address
244 SW 23Rd St
Fort Lauderdale, FL 33315-2539
Phone (786) 473-4327
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 |
|---|---|---|---|
| BACB438700 | FL | MD | Behavioral Analyst |
| RBT-19-88703 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waves Behavior Therapy | Behavior Analyst | Current | Accepting new patients |
| Positive Behavior Services | Behavior Analyst | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Hollywood, FL
- NPI 1245015536
-
- Behavior Analyst
- Homestead, FL
- NPI 1639438120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659571200000",
"number": "1891353975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 SW 23RD ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333152539",
"telephone_number": "786-473-4327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1513 SW 2ND CT",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330306675",
"telephone_number": "786-972-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DA COSTA",
"first_name": "LUCIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-03",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "BACB438700",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-19-88703",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.