Individual provider Active NPI

Roberto Alfonso Lanuza, M.S., B.C.B.A.

  • Behavior Analyst
  • Mobile, AL
National Provider Identifier
1912142852
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-08-4420 Issued in AL
Practice address
54 Semmes Ave
Mobile, AL 36604-1339
Phone
(786) 369-1725
NPI assigned
Dec 5, 2008
Last updated
May 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-08-4420 AL Primary

Addresses

Primary practice location

54 Semmes Ave
Mobile, AL 36604-1339

Mailing address

54 Semmes Ave
Mobile, AL 36604-1339
Phone (786) 369-1725

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Roberto Lanuza LLC Behavior Analyst 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1912142852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 SEMMES AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041339",
            "telephone_number": "786-369-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SEMMES AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041339",
            "telephone_number": "786-369-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANUZA",
        "first_name": "ROBERTO",
        "middle_name": "ALFONSO",
        "credential": "M.S., B.C.B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-05",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "1-08-4420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.