Active NPI
Daifka Ruth Manasse
- Behavior Analyst
- Lantana, FL
National Provider Identifier
1114567732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 890 Garnett St
Lantana, FL 33462-4450 - Phone
- (561) 723-7334
- NPI assigned
- Jan 11, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-101920 | FL | |
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
890 Garnett St
Lantana, FL 33462-4450
Mailing address
890 Garnett St
Lantana, FL 33462-4450
Phone (561) 723-7334
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-19-101920 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1114567732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 GARNETT ST",
"city": "LANTANA",
"state": "FL",
"postal_code": "334624450",
"telephone_number": "561-723-7334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 GARNETT ST",
"city": "LANTANA",
"state": "FL",
"postal_code": "334624450",
"telephone_number": "561-723-7334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANASSE",
"first_name": "DAIFKA",
"middle_name": "RUTH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-11",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-19-101920",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lantana, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.