Active NPI
Amy Lyn Michaelis, ED.D., BCBA-D
- Behavior Analyst
- New Smyrna Beach, FL
National Provider Identifier
1194135954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 311 N Orange St
New Smyrna Beach, FL 32168-6733 - Phone
- (386) 402-4460
- Fax
- (386) 957-3637
- NPI assigned
- May 2, 2014
- 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 Analyst | 103K00000X | Primary | ||
| Other Technician | 247200000X |
Addresses
Primary practice location
311 N Orange St
New Smyrna Beach, FL 32168-6733
Mailing address
311 N Orange St
New Smyrna Beach, FL 32168-6733
Phone (386) 402-4460
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upward Trend Academy | Behavior Analyst | Current | Accepting new patients |
Locations
311 N Orange St
New Smyrna Beach, FL 32168
Phone (386) 402-4460
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.
-
- Behavior Analyst
- New Smyrna Beach, FL
- NPI 1235760679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1194135954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 N ORANGE ST",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321686733",
"telephone_number": "386-402-4460",
"fax_number": "386-957-3637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 N ORANGE ST",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321686733",
"telephone_number": "386-402-4460",
"fax_number": "386-957-3637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAELIS",
"first_name": "AMY",
"middle_name": "LYN",
"name_prefix": "Dr.",
"credential": "ED.D., BCBA-D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-02",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Smyrna Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.