Amanda Alexis Acevedo
Individual provider Active NPI Behavior Technician · Ocoee, FL
NPI 1013408145 · NPPES record last updated Jan 23, 2019
Key facts
- NPI
- 1013408145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2930 Maguire Rd
Ocoee, FL 34761 - Phone
- (407) 602-5010
- NPI assigned
- May 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Autism Center | Behavior Technician | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician |
106S00000X | FL | Yes |
Addresses
Primary practice location
2930 Maguire Rd
Ocoee, FL 34761
Mailing address
175 Middle St Unit 1201
Lake Mary, FL 32746-3625
Phone (718) 313-2548
Other practice location 1
15100 Hutchinson Rd
odessa, FL 33556
Phone (718) 313-2548
Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.