Active NPI
Mariana Remedios Probance
- Behavior Analyst
- Kissimmee, FL
National Provider Identifier
1265075709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BCBA1-25-84791
- Practice address
- 2250 Pine Needle TRL
Kissimmee, FL 34746-3090 - Phone
- (321) 284-9415
- NPI assigned
- Oct 28, 2019
- 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 | BCBA1-25-84791 | Primary | |
| Behavior Technician | 106S00000X | RBT-19-100362 | FL |
Addresses
Primary practice location
2250 Pine Needle TRL
Kissimmee, FL 34746-3090
Mailing address
2250 Pine Needle TRL
Kissimmee, FL 34746-3090
Phone (321) 284-9415
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-19-100362 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1265075709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 PINE NEEDLE TRL",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347463090",
"telephone_number": "321-284-9415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 PINE NEEDLE TRL",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347463090",
"telephone_number": "321-284-9415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REMEDIOS PROBANCE",
"first_name": "MARIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-28",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "BCBA1-25-84791",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-19-100362",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.