Beverly Manda, M.A., ED.

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

175 Middle St
Lake Mary, FL 32746-3625

Phone

(407) 955-4001

NPI assigned

Jan 13, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Florida Autism Center

  • Behavior Analyst
  • Apopka, FL
  • NPI 1811351349

  Behavior Technician

  NPD (past)

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1528504594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S HUNT CLUB BLVD",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034948",
            "telephone_number": "407-613-2335",
            "fax_number": "866-810-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MIDDLE ST",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463625",
            "telephone_number": "407-955-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDA",
        "first_name": "BEVERLY",
        "credential": "M.A., ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michal Malcolm, M.A
• Alex Emil Maldonado, LPTA
• Mahad Malik, MD
• George Malki, MD
• Michael Warren Manchester, MA, NCC, LMHC
• Sophia Mangonon, DMD
• Kimberly Mangum, APRN
• Shivali P Maniar, PA-C
• Dania Claude Manigat, APRN
• Amina Mannan, BDS,AEGD

• Behavior Technician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.