Individual provider Active NPI

Joanna Acosta

  • Behavior Analyst
  • Orlando, FL
National Provider Identifier
1619332491
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-40065 Issued in FL
Practice address
3020 Lamberton Blvd Ste 107
Orlando, FL 32825-9124
Phone
(407) 490-2986
NPI assigned
Dec 22, 2015
Last updated
Jun 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-19-40065 FL Primary

Addresses

Primary practice location

3020 Lamberton Blvd Ste 107
Orlando, FL 32825-9124

Mailing address

2522 Greenwillow Dr
Orlando, FL 32825-7551
Phone (407) 534-0033

Other practice location 1

12012 Lake Cypress Cir
C-309
Orlando, FL 32828-7069
Phone (407) 534-2896

Other practice location 2

14059 Riveredge Dr Unit 10103
Tampa, FL 33637-1065
Phone (407) 534-0033

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

Practice roles

OrganizationSpecialtyStatusNew patients
Flutterflies LLC Behavior Analyst CurrentSince Sep 1, 2020 Accepting new patients

Locations

3020 Lamberton Blvd
Ste 107
Orlando, FL 32825
Phone (407) 490-2986

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1619332491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 GREENWILLOW DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328257551",
            "telephone_number": "407-534-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 LAMBERTON BLVD STE 107",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328259124",
            "telephone_number": "407-490-2986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12012 Lake Cypress Cir",
            "address_2": "C-309",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328287069",
            "country_code": "US",
            "telephone_number": "407-534-2896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14059 Riveredge Dr Unit 10103",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336371065",
            "country_code": "US",
            "telephone_number": "407-534-0033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "JOANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-22",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-19-40065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.