Active NPI
Ambar Dianeth Garro Mancilla
- Behavior Analyst
- Kissimmee, FL
National Provider Identifier
1285180117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-24-70809
- Practice address
- 1216 Patrick St
Kissimmee, FL 34741-5534 - Phone
- (407) 329-3464
- NPI assigned
- Aug 31, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Developmental Therapist | 222Q00000X | |||
| Behavior Analyst | 103K00000X | 1-24-70809 | FL | Primary |
Addresses
Primary practice location
1216 Patrick St
Kissimmee, FL 34741-5534
Mailing address
10136 Tierra Bella Dr
Orlando, FL 32825-7703
Phone (407) 274-1120
Other practice location 1
2200 Rio Pinar Lakes Blvd
Orlando, FL 32822-8422
Phone (407) 274-1120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108221600 | Medicaid | FL |
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 |
|---|---|---|---|
| Papins Group Corp | Behavior Analyst | Past | Accepting new patients |
| Angels Creative Childrens Therapy LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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
- Orlando, FL
- NPI 1528496056
-
dba Behavioral Work
- Behavior Technician
- Kissimmee, FL
- NPI 1174971311
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1285180117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10136 TIERRA BELLA DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328257703",
"telephone_number": "407-274-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 PATRICK ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415534",
"telephone_number": "407-329-3464"
}
],
"practiceLocations": [
{
"address_1": "2200 Rio Pinar Lakes Blvd",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328228422",
"country_code": "US",
"telephone_number": "407-274-1120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARRO MANCILLA",
"first_name": "AMBAR",
"middle_name": "DIANETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-31",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-24-70809",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108221600",
"state": "FL"
}
],
"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 Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.