Nicole Danielle Manassa, BCABA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0-04-1475 Issued in FL

Practice address

4601 66TH St W
Apt. 1802B
Bradenton, FL 34210-2632

Phone

(941) 932-2516

NPI assigned

May 27, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1104084185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 49TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071953",
            "telephone_number": "941-932-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 66TH ST W",
            "address_2": "APT. 1802B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102632",
            "telephone_number": "941-932-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANASSA",
        "first_name": "NICOLE",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-27",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-04-1475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mana Care, LLC
• Manasota Accident & Injury Center, LLC
• Manasota Assoc. for Retarded Citizens
• Manasota Massage
• Manasota Pharmacy Services LLC
• Sydney Manasse, M.S. CCC-SLP
• Manatee Assisted Living Facility, Inc.
• Manatee Cardiology Associates, LLC
• Manatee Children'S Services
• Manatee County Family Young Men'S Christian Association

• Assistant Behavior Analyst in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Assistant Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.