Active NPI
Lizandra Palenzuela
- Behavior Technician
- Hialeah, FL
National Provider Identifier
1992442339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB762556
- Practice address
- 3219 W 4TH Ave
Hialeah, FL 33012-5308 - Phone
- (305) 261-6633
- NPI assigned
- May 17, 2022
- Sex
- Female
- 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 | BACB762556 | FL | Primary |
Addresses
Primary practice location
3219 W 4TH Ave
Hialeah, FL 33012-5308
Mailing address
2005 SW 145TH Ave
Miami, FL 33175-7468
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | egil@regahealth.com | Direct | Rega Mental Health Center, LLC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| BACB762556 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1992442339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 SW 145TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331757468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3219 W 4TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330125308",
"telephone_number": "305-261-6633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALENZUELA",
"first_name": "LIZANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-17",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "BACB762556",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "egil@regahealth.com",
"affiliation": "Y",
"endpointDescription": "EMAIL",
"affiliationName": "Rega Mental Health Center, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3219 W 4th Ave",
"city": "Hialeah",
"state": "FL",
"country_code": "US",
"postal_code": "330125308",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.