Ana Cevallos

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1200 N Central Ave Ste 110
Kissimmee, FL 34741-4439

Phone

(407) 530-5063

Fax

(877) 399-5578

NPI assigned

Oct 11, 2023

Last updated

Aug 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1306627666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 HAILSHAM CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328244244",
            "telephone_number": "754-265-1770",
            "fax_number": "407-307-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N CENTRAL AVE STE 110",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414439",
            "telephone_number": "407-530-5063",
            "fax_number": "877-399-5578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1416 Simpson Rd",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347444600",
            "country_code": "US",
            "telephone_number": "754-265-1770",
            "fax_number": "407-307-2328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CEVALLOS",
        "first_name": "ANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.