Individual provider Active NPI

Morgan Mendola Banner

  • Assistant Behavior Analyst
  • New Port Richey, FL
National Provider Identifier
1053031492
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-25-16717 Issued in FL
Practice address
6533 River Rd
New Port Richey, FL 34652-2229
Phone
(727) 534-3234
Fax
(727) 255-5151
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-25-16717 FL Primary

Addresses

Primary practice location

6533 River Rd
New Port Richey, FL 34652-2229

Mailing address

1900 Oswego Dr
Holiday, FL 34691-7858
Phone (727) 255-1626

Other practice location 1

1900 Oswego Dr
Holiday, FL 34691-7858
Phone (727) 255-1626

Other identifiers 1

IdentifierTypeStateIssuer
1053031492MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Experts LLC Assistant Behavior Analyst PastSince Oct 16, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1053031492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 OSWEGO DR",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346917858",
            "telephone_number": "727-255-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6533 RIVER RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346522229",
            "telephone_number": "727-534-3234",
            "fax_number": "727-255-5151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Oswego Dr",
            "address_purpose": "LOCATION",
            "city": "Holiday",
            "state": "FL",
            "postal_code": "346917858",
            "country_code": "US",
            "telephone_number": "727-255-1626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANNER",
        "first_name": "MORGAN",
        "middle_name": "MENDOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-25-16717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053031492",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.