Individual provider Active NPI

Amanda Liz Pabellon, MS, CF-SLP

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1073498804
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ12789 Issued in FL
Practice address
14291 SW 120TH St Ste 103
Miami, FL 33186-7287
Phone
(305) 385-0168
NPI assigned
Aug 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ12789 FL Primary

Addresses

Primary practice location

14291 SW 120TH St Ste 103
Miami, FL 33186-7287

Mailing address

14291 SW 120TH St Ste 103
Miami, FL 33186-7287
Phone (305) 385-0168

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SZ12789FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
B & V Thera Pro Associates Corp Speech-Language Pathologist CurrentSince Aug 17, 2025 Accepting new patients

Locations

14291 SW 120th St
Ste 103
Miami, FL 33186
Phone (305) 385-0168

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": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1073498804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14291 SW 120TH ST STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867287",
            "telephone_number": "305-385-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14291 SW 120TH ST STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867287",
            "telephone_number": "305-385-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PABELLON",
        "first_name": "AMANDA",
        "middle_name": "LIZ",
        "credential": "MS, CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ12789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.