Suyapa Concepcion Amaya, MSW., BCBA, LABA
Individual provider Active NPI Behavior Analyst · Orlando, FL
NPI 1265786149 · NPPES record last updated Oct 28, 2024
Key facts
- NPI
- 1265786149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-16-21868 (FL)
- Practice address
- 2145 Metrocenter Blvd Ste 300
Orlando, FL 32835-7642 - Phone
- (877) 999-0258
- NPI assigned
- Oct 31, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801094246 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ABA Cares of Florida LLC | Behavior Analyst | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-16-21868 | FL | Yes |
| Clinical Social Worker | 1041C0700X | 6801094246 | MI |
Addresses
Primary practice location
2145 Metrocenter Blvd Ste 300
Orlando, FL 32835-7642
Mailing address
542 Amherst St
Nashua, NH 03063-1016
Other practice location 1
2145 Metrocenter Blvd Ste 300
Orlando, FL 32835-7642
Phone (877) 999-0258
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.