Individual provider Active NPI

Michele Lynn McGlamory, MS, BCBA

  • Behavior Analyst
  • Altamonte Springs, FL
National Provider Identifier
1174861256
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-12-11921 Issued in CO
Practice address
225 Sheppard St
Altamonte Springs, FL 32701-7617
Phone
(813) 390-9482
NPI assigned
Jan 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-12-11921 CO Primary

Addresses

Primary practice location

225 Sheppard St
Altamonte Springs, FL 32701-7617

Mailing address

225 Sheppard St
Altamonte Springs, FL 32701-7617
Phone (813) 390-9482

Other identifiers 1

IdentifierTypeStateIssuer
019529700MedicaidFL

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Behavior Change and Associates Behavior Analyst CurrentSince Dec 15, 2024 Accepting new patients

Locations

160 E Lake Brantley Dr
Longwood, FL 32779
Phone (321) 297-6720

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1174861256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SHEPPARD ST",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017617",
            "telephone_number": "813-390-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SHEPPARD ST",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017617",
            "telephone_number": "813-390-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGLAMORY",
        "first_name": "MICHELE",
        "middle_name": "LYNN",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-12-11921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019529700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.