Provider Demographics
NPI:1114519170
Name:LLOVERAS, LINDSAY ANN (BCBA)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ANN
Last Name:LLOVERAS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:945 CENTER DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32611-2026
Mailing Address - Country:US
Mailing Address - Phone:727-432-2076
Mailing Address - Fax:
Practice Address - Street 1:945 CENTER DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32611-2026
Practice Address - Country:US
Practice Address - Phone:727-432-2076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-10
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBACB305910103K00000X
FL1-18-32930103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst