Amanda Bances Broche
Individual provider Active NPI Behavior Analyst · Lauderhill, FL
NPI 1104414796 · NPPES record last updated Oct 24, 2024
Key facts
- NPI
- 1104414796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- BCBA-1-22-62910 (FL)
- Practice address
- 4420 NW 11TH St
Lauderhill, FL 33313 - Phone
- (786) 813-2941
- NPI assigned
- Jan 8, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BCBA-1-22-62910 | FL | Yes |
| Assistant Behavior Analyst | 106E00000X | 0-20-11431 | FL |
Addresses
Primary practice location
4420 NW 11TH St
Lauderhill, FL 33313
Mailing address
4420 NW 11TH St
Lauderhill, FL 33313
Phone (786) 813-2941
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108669800 | Medicaid | FL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amanda.bances@victorybrt.com |
Other providers in Lauderhill, FL
- Leonard W Bailey
- Sophia Bailey
- Samantha Keniece Baker
- Filip Nikolaev Baldzhiyski
- Kira Carolina Balestrini Perez
- Marlene Angela Bantonsmith
- Joceline Baptiste
- Nishka L Baptiste
- Karly Helene Hope Barbre
- Shavoni Barnett
All providers in Lauderhill, FL · Behavior Analyst in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.