NPIMap

Organization Active NPI

Lifesprout, LLC

Doing business as Kidsprout

  • Behavior Analyst
  • West Palm Beach, FL
National Provider Identifier
1952549982
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-07-3256 Issued in FL
Legal business name
LIFESPROUT, LLC
Doing business as
Kidsprout
Practice address
1115 Golden Lakes Blvd Apt 524
West Palm Beach, FL 33411-3331
Phone
(561) 596-8791
Fax
(561) 471-1332
NPI assigned
Jan 29, 2009
Last updated
Jan 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Authorized official

Name
Rocco L. Nocera, MA, BCBA
Title
Managing Member
Phone
(561) 596-8791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1-07-3256 FL Primary

Addresses

Primary practice location

1115 Golden Lakes Blvd Apt 524
West Palm Beach, FL 33411-3331

Mailing address

1115 Golden Lakes Blvd Apt 524
West Palm Beach, FL 33411-3331
Phone (561) 596-8791

Other names 1

  • Kidsprout Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1952549982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 GOLDEN LAKES BLVD APT 524",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334113331",
            "telephone_number": "561-596-8791",
            "fax_number": "561-471-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 GOLDEN LAKES BLVD APT 524",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334113331",
            "telephone_number": "561-596-8791",
            "fax_number": "561-471-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPROUT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "NOCERA",
        "authorized_official_first_name": "ROCCO",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "561-596-8791",
        "authorized_official_credential": "MA, BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-07-3256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidsprout",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 29, 2009; 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.