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CAPERNAUM AUTISM CENTER LLC
NPI 1215899711
Behavior Analyst in Lakeland, FL

Active since December 02, 2025
2024 EDGEWOOD DR S, LAKELAND, FL 33803(813) 553-8253 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 22, 2026, Dec 2, 2025 (2 updates tracked since 2025).

About Capernaum Autism Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAPERNAUM AUTISM CENTER LLC (NPI 1215899711) is a healthcare organization registered as a behavior analyst in Lakeland, Florida and active in the NPI registry since December 2025. The organization lists Vijay Dasika, Administrator, as its authorized official.

NPPES Registry Identity

NPI1215899711
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameCAPERNAUM AUTISM CENTER LLC
Location Address2024 EDGEWOOD DR SLakeland, FL 33803-3637
Mailing Address2024 Edgewood Dr SLakeland, FL 33803-3637
Phone(813) 553-8253
Organization SubpartNo
Authorized OfficialVijay DasikaAdministrator · (813) 553-8253
Enumeration DateDecember 2, 2025
Last NPPES UpdateJanuary 22, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
✔ NPI 1215899711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
2024 EDGEWOOD DR S, Lakeland, FL 33803
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REANNA MAXWELL ARNP
Nurse Practitioner (Family)
2024 EDGEWOOD DR S
LAKELAND, FL 33803
Polk County (863) 232-4323
DR. ARTHUR WILLIAM MOORE III D.M.D.
Dentist
2024 EDGEWOOD DR S
LAKELAND, FL 33803
Polk County (863) 667-4726
DR. ERIC ROBERTO VERNIER MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2024 EDGEWOOD DR S, SUITE 1
LAKELAND, FL 33803
Polk County (863) 232-4323
MRS. GRETHEL DIAZ APRN11041379
Nurse Practitioner
2024 EDGEWOOD DR S
LAKELAND, FL 33803
Polk County (863) 232-4323
CAPERNAUM MEDICAL CENTER FOR KIDS PLLC
Clinic/Center
2024 EDGEWOOD DR S
LAKELAND, FL 33803
Polk County (863) 232-4323
DR. RONALD LANGFORD JAMES D.M.D.
Dentist (General Practice)
2024 EDGEWOOD DR S, SUITE 2
LAKELAND, FL 33803
Polk County (863) 666-5449
SHARON PAUL LMHC, NCC
Counselor (Mental Health)
2024 EDGEWOOD DR S
LAKELAND, FL 33803
Polk County (863) 529-7148
ROLANDO BETANCOURT
Technician, Health Information
2024 EDGEWOOD DR S
LAKELAND, FL 33803
Polk County (813) 502-9670

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Capernaum Autism Center LLC's NPI number?

The NPI number for Capernaum Autism Center LLC is 1215899711. It was assigned to this organization in the NPPES registry on December 2, 2025.

Where is Capernaum Autism Center LLC located?

Capernaum Autism Center LLC is located at 2024 Edgewood Dr S, Lakeland, FL 33803. The listed phone number is (813) 553-8253.

What is Capernaum Autism Center LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Capernaum Autism Center LLC was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.