Nicole Carbonelli Rosa

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1548510498 Issued in FL

Practice address

1634 Ferris Ave
Orlando, FL 32803-1810

Phone

(407) 575-4236

NPI assigned

Aug 10, 2021

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

State licenses

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.

• Johanna McDonald LLC

  • Behavior Analyst
  • Orlando, FL
  • NPI 1154097145
  NPD
• Johanna McDonald LLC

  • Behavior Analyst
  • Orlando, FL
  • NPI 1548510498
  NPD (past)

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1104591411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 GRAYSON DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328256723",
            "telephone_number": "407-350-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 FERRIS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031810",
            "telephone_number": "407-575-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONELLI ROSA",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1548510498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lara V Carballo, RPT
• Andrew Carbone, MD
• Kimberly Carbone
• Olivia Carbone, PA
• Tejah Carbone, LCSW
• Jordan Carbono, MD
• Natasha A. Carby-Joseph, M.A. CCC-SLP
• Kristy Carcara, M.ED., CCC/SLP
• Francisco Carcases Osorio, SA-C
• Dalila Carcases

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.