Active NPI
Andrea Lynn Ciaravino
- Behavior Analyst
- Fort Lauderdale, FL
National Provider Identifier
1366932741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- MH14334
- Practice address
- 2900 NE 55TH PL
Fort Lauderdale, FL 33308-3458 - Phone
- (954) 536-0833
- NPI assigned
- May 11, 2018
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 14334 | FL | |
| Behavior Analyst | 103K00000X | MH14334 | FL | Primary |
Addresses
Primary practice location
2900 NE 55TH PL
Fort Lauderdale, FL 33308-3458
Mailing address
2900 NE 55TH PL
Fort Lauderdale, FL 33308-3458
Phone (954) 536-0833
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 |
|---|---|---|---|
| 14334 | FL | MD | Mental Health Counselor |
| MH14334 | FL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525996800000",
"number": "1366932741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 NE 55TH PL",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333083458",
"telephone_number": "954-536-0833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 NE 55TH PL",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333083458",
"telephone_number": "954-536-0833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIARAVINO",
"first_name": "ANDREA",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-11",
"last_updated": "2018-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "14334",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "MH14334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.