Shavae Casandra Bartlett
Individual provider Active NPI Behavior Technician · Mount Dora, FL
NPI 1487515862 · NPPES record last updated Nov 24, 2025
Key facts
- NPI
- 1487515862
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 17435 US Highway 441
Mount Dora, FL 32757-6750 - Phone
- (352) 434-0455
- NPI assigned
- Nov 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
17435 US Highway 441
Mount Dora, FL 32757-6750
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Phone (866) 610-0580
Other providers in Mount Dora, FL
- Jasmin Ball
- Liam Barningham
- Katherine Barone
- Arianna Barraco
- Viktorianikol Barros
- Cherlynn Basignani
- Laura Elizabeth Bass
- Alisha Dawn Bateman
- Caroline Batson
- Jeffrey D Baumann
All providers in Mount Dora, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.