Active NPI
Isaac Lebrun
- Behavior Technician
- West Palm Beach, FL
National Provider Identifier
1912437054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 4423 Woodstock Dr Apt a
West Palm Beach, FL 33409-2924 - Phone
- (857) 266-1425
- NPI assigned
- Jun 12, 2017
- Last updated
- Jun 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
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
4423 Woodstock Dr Apt a
West Palm Beach, FL 33409-2924
Mailing address
3613 Pomerol Dr Apt 307
Wellington, FL 33414-9425
Phone (561) 771-9561
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 |
|---|---|---|---|
| Essential Healing of South Florida, Inc. | 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.
-
- Behavior Analyst
- Greenacres, FL
- NPI 1912389925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1912437054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3613 POMEROL DR APT 307",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334149425",
"telephone_number": "561-771-9561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4423 WOODSTOCK DR APT A",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334092924",
"telephone_number": "857-266-1425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBRUN",
"first_name": "ISAAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-12",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.