Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jose Luis Lizardi IV

Individual provider Behavior Technician · NPI 1619680295

Mr. Jose Luis Lizardi IV is a Behavior Technician in Tampa, Florida. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

4940 Northdale Blvd
Tampa, FL 33624-1075
Phone: (315) 244-0615
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1619680295
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 28, 2022
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026

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