Individual provider Active NPI

Vanessa Ileann Anderson-Alvarez, BS, BCABA

  • Assistant Behavior Analyst
  • Tampa, FL
National Provider Identifier
1194332254
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
License
0-25-15914 Issued in FL
Practice address
4518 S Manhattan Ave
Tampa, FL 33611-2306
Phone
(813) 847-8179
NPI assigned
Sep 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-25-15914 FL Primary

Addresses

Primary practice location

4518 S Manhattan Ave
Tampa, FL 33611-2306

Mailing address

1565 Blue Magnolia Rd
Brandon, FL 33510-4029
Phone (813) 847-8179

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
Bachelor of Science

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1194332254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 BLUE MAGNOLIA RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104029",
            "telephone_number": "813-847-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4518 S MANHATTAN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336112306",
            "telephone_number": "813-847-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON-ALVAREZ",
        "first_name": "VANESSA",
        "middle_name": "ILEANN",
        "credential": "BS, BCABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-25-15914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.