Ismaray Remedios Probance, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-50434 Issued in FL

Practice address

1420 Celebration Blvd Ste 200
Celebration, FL 34747-5162

Phone

(407) 922-4012

NPI assigned

Oct 4, 2019

Last updated

Feb 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1023659661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 CELEBRATION BLVD STE 200",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 CELEBRATION BLVD STE 200",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347475162",
            "telephone_number": "407-922-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMEDIOS PROBANCE",
        "first_name": "ISMARAY",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-50434",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-99223",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIOR ANALYST CERTIFICATION BOARD",
            "identifier": "RBT-19-99223",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chandan Gopal Reddy, M.D.
• Sandra Reeder, ARNP
• Subhia Rehman, M.D
• Trisha Reid, PT ASST
• Jordana Isabel Reina Fernandez, M.D.
• Tracy Renner, LMT
• Mauree Rhame
• Maria Alejandra Ricaurte, APRN
• Richardson & Co Inc
• Victoria Elaine Richione, APRN, FNP-C

• Behavior Analyst in Celebration, FL
• Providers in Celebration, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.