Active NPI
Miranda Minchillo
- Assistant Behavior Analyst
- Tampa, FL
National Provider Identifier
1356069298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- 0-25-15820
- Practice address
- 217 S Matanzas Ave
Tampa, FL 33609-3010 - Phone
- (813) 250-0482
- NPI assigned
- Aug 17, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-22-223768 | FL | |
| Assistant Behavior Analyst | 106E00000X | 0-25-15820 | FL | Primary |
Addresses
Primary practice location
217 S Matanzas Ave
Tampa, FL 33609-3010
Mailing address
217 S Matanzas Ave
Tampa, FL 33609-3010
Phone (813) 250-0482
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-22-223768 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1356069298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 S MATANZAS AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336093010",
"telephone_number": "813-250-0482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 S MATANZAS AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336093010",
"telephone_number": "813-250-0482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINCHILLO",
"first_name": "MIRANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-17",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-22-223768",
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "FL",
"license": "0-25-15820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.