Individual provider Active NPI

Raymone Lexidor

  • Behavior Technician
  • Pompano Beach, FL
National Provider Identifier
1891553145
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-329595 Issued in FL
Practice address
1201 NW 3Rd Ave Apt 107
Pompano Beach, FL 33060-5554
Phone
(195) 486-6143
NPI assigned
Mar 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 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-24-329595 FL Primary

Addresses

Primary practice location

1201 NW 3Rd Ave Apt 107
Pompano Beach, FL 33060-5554

Mailing address

4701 N Federal Hwy Ste 460
Pompano Beach, FL 33064-6591
Phone (954) 866-1430

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-24-329595FLMDBehavior Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1891553145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 N FEDERAL HWY STE 460",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646591",
            "telephone_number": "954-866-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NW 3RD AVE APT 107",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330605554",
            "telephone_number": "195-486-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEXIDOR",
        "first_name": "RAYMONE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-329595",
            "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 11, 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.