Michelle Lea Anderson, BCABA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0-11-4091 Issued in FL

Practice address

4351 Anson LN Apt 304
Orlando, FL 32814-6355

Phone

(407) 865-1509

NPI assigned

Aug 31, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Michelle Lea Mimioglu Other name

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": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1538615307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 ANSON LN APT 304",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146355",
            "telephone_number": "407-865-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 ANSON LN APT 304",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146355",
            "telephone_number": "407-865-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MICHELLE",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "BCABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "0-11-4091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MIMIOGLU",
            "middle_name": "LEA",
            "prefix": "MRS.",
            "credential": "BCABA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lucas John Anderson, M.D.
• Macy Anderson, DNP, APRN, FNP-C
• Mark D Anderson, MD
• Melinda Anne Anderson, COTA/L
• Michael Warren Anderson, M.D.
• Michelle Marie Anderson, CNM
• Mindi Ashley Anderson, APRN, CPNP-PC
• Morgan T Anderson, PTA
• Nicole Anderson, M.A., LMHC
• Olivia Ethel Rae Anderson, AU.D

• Behavior Analyst in Orlando, FL
• Providers in Orlando, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.