Active NPI
Amelia L Siple, RBT
- Behavior Technician
- Eustis, FL
National Provider Identifier
1083202980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-143191
- Practice address
- 2138 Sandridge Cir
Eustis, FL 32726-4486 - Phone
- (407) 579-7041
- NPI assigned
- Jan 6, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-143191 | FL | Primary |
Addresses
Primary practice location
2138 Sandridge Cir
Eustis, FL 32726-4486
Mailing address
5016 Pine Needle Dr
Mascotte, FL 34753-8854
Phone (352) 444-0690
Other names 1
- Mrs. Amelia Lorelei Daly
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-143191 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1083202980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5016 PINE NEEDLE DR",
"city": "MASCOTTE",
"state": "FL",
"postal_code": "347538854",
"telephone_number": "352-444-0690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2138 SANDRIDGE CIR",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327264486",
"telephone_number": "407-579-7041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIPLE",
"first_name": "AMELIA",
"middle_name": "L",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-06",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-20-143191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMELIA",
"last_name": "DALY",
"middle_name": "LORELEI",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Eustis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.