Individual provider Active NPI

Adelheid De la Luz Lorenzo

  • Behavior Technician
  • Wellington, FL
National Provider Identifier
1982487294
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-283523 Issued in FL
Practice address
1329 Periwinkle PL
Wellington, FL 33414-8653
Phone
(561) 818-4536
NPI assigned
Aug 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X RBT-23-283523 FL Primary

Addresses

Primary practice location

1329 Periwinkle PL
Wellington, FL 33414-8653

Mailing address

1329 Periwinkle PL
Wellington, FL 33414-8653
Phone (561) 818-4536

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-23-283523FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1982487294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 PERIWINKLE PL",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148653",
            "telephone_number": "561-818-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 PERIWINKLE PL",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148653",
            "telephone_number": "561-818-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA LUZ LORENZO",
        "first_name": "ADELHEID",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-283523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.