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Riedasiel Lugo

Behavior Analyst in Lake Wales, FL. Individual provider (NPI-1).

NPI number1720749047
StatusActive
Last updated in NPPESMar 25, 2026

Details

NPI
1720749047
Entity type
Individual (NPI-1)
Name
Riedasiel Lugo
Sex
Female
Sole proprietor
No
Enumeration date
Jan 8, 2022
Certification date
Mar 25, 2026
Last updated
Mar 25, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst1-26-88716FLYes

Practice location

1324 State Road 60 E
Lake Wales, FL 33853-4322

Phone 863-275-1102

Mailing address

1195 Lycaste Dr
Davenport, FL 33837-9042

Phone 407-860-1368

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Behavior Analyst providers in Lake Wales, FL

All 5 Behavior Analyst providers in Lake Wales · All 587 providers in Lake Wales

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