1871919324 NPI number — LILLY ALEJANDRA FLORES-FIUMARA B.C.B.A.-D.

NPI Number: 1871919324
Health Care Provider/Practitioner: LILLY ALEJANDRA FLORES-FIUMARA B.C.B.A.-D.

NPI Number : 1871919324 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871919324",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FLORES-FIUMARA",
    "FirstName": "LILLY",
    "MiddleName": "ALEJANDRA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "B.C.B.A.-D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "FLORES-FIUMARA",
    "OtherFirstName": "LILLY",
    "OtherMiddleName": "ALEJANDRA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "B.C.B.A.-D.",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "5279 N WILLOUGHBY DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PRESCOTT VALLEY",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "86314-5822",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "626-757-4940",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5279 N WILLOUGHBY DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PRESCOTT VALLEY",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "86314-5822",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "626-757-4940",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/07/2014",
    "LastUpdateDate": "08/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103K00000X",
          "TaxonomyName": "Behavior Analyst",
          "LicenseNumber": "1-10-7080",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "103K00000X",
          "TaxonomyName": "Behavior Analyst",
          "LicenseNumber": "BEH-001872",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}