Soaring Behavior

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SOARING BEHAVIOR

Practice address

3637 Glen Village CT
Orlando, FL 32822-5757

Phone

(386) 569-1628

NPI assigned

Nov 18, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Taylor-Marie Miceli, BCBA

Title

Ceo/Founder

Phone

(386) 569-1628

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1194328583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 GLEN VILLAGE CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328225757",
            "telephone_number": "386-569-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 GLEN VILLAGE CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328225757",
            "telephone_number": "386-569-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOARING BEHAVIOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "MICELI",
        "authorized_official_first_name": "TAYLOR-MARIE",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "386-569-1628",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019897700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Patrick Snow, M.D.
• Catherine Snyder
• Jessica Snyder, BA
• Michelle Cler Snyder, LCSW
• Mary Hellen Soares
• Lauren Howard Sobel
• Steven M Sobel, O.D.
• Vina Jaranilla Soberano, PT, CLT
• Liset Soberao
• Ma Jo Anne Sobrevega

• 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 Nov 18, 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.