Individual provider Active NPI

Manuela Londono Corrales, BCABA, SLP

  • Speech-Language Pathologist
  • Davie, FL
National Provider Identifier
1184108987
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ9705 Issued in FL
Practice address
5400 S University Dr Ste 502
Davie, FL 33328-5313
Phone
(888) 754-0398
NPI assigned
Sep 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ9705 FL Primary
Assistant Behavior Analyst 106E00000X 0156806 FL

Addresses

Primary practice location

5400 S University Dr Ste 502
Davie, FL 33328-5313

Mailing address

5400 S University Dr Ste 502
Davie, FL 33328-5313
Phone (888) 754-0398

Other practice location 1

3990 Sheridan St Ste 209
Hollywood, FL 33021-3656
Phone (954) 329-2675 ext. 710

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

LicenseStateTypeSpecialty
0156806FLMDAssistant Behavior Analyst
SZ9705FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vocational Development Group, LLC Speech-Language Pathologist CurrentSince Mar 28, 2021 Accepting new patients

Locations

77 Hartland St
Ste 108
Hartford, CT 06108
Phone (860) 359-3737

5400 S University Dr
Ste 502
Davie, FL 33328
Phone (888) 875-4039

3990 Sheridan St
Ste 209
Hollywood, FL 33021
Phone 9543292675 ext. 710

13650 NW 8th St
Ste 109
Sunrise, FL 33325
Phone (866) 696-4884

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": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1184108987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 S UNIVERSITY DR STE 502",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285313",
            "telephone_number": "888-754-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 S UNIVERSITY DR STE 502",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333285313",
            "telephone_number": "888-754-0398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3990 Sheridan St Ste 209",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330213656",
            "country_code": "US",
            "telephone_number": "954-329-2675 x710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONDONO CORRALES",
        "first_name": "MANUELA",
        "credential": "BCABA, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ9705",
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0156806",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.