Individual provider Active NPI

Ambar Dianeth Garro Mancilla

  • Behavior Analyst
  • Kissimmee, FL
National Provider Identifier
1285180117
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-24-70809 Issued in FL
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

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
108221600MedicaidFL

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

OrganizationSpecialtyStatusNew patients
Papins Group Corp Behavior Analyst PastSince Jan 19, 2025 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.

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.

Verify at the official NPI Registry.