Vanessa Paneca

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BCBA-1-20-43-155

Practice address

721 W 81St St
Hialeah, FL 33014-4135

Phone

(786) 521-3616

NPI assigned

Aug 4, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Metamorphic Changes Corp.

  • Behavior Analyst
  • Hialeah, FL
  • NPI 1265180194
  NPD Authorized official

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1093230666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W 81ST ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W 81ST ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330144135",
            "telephone_number": "786-521-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANECA",
        "first_name": "VANESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "BCBA-1-20-43-155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020964200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Xavier Andres Panchana, MS, RDN, LDN
• Angela Pando
• Maria Fernanda Pando
• Milena Pandolfi
• Mandy Paneca
• Yuri Paneque Cabrera
• Amnet Pantaleon, PHARM D
• Maria C Pantiga
• Yesika Pantoja Perez
• Grisel Amaive Pantoja

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.

Verify at the official NPI Registry.