Individual provider Active NPI

Nackyana Christine King

  • Behavior Analyst
  • Casselberry, FL
National Provider Identifier
1649734054
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
212 State Road 436 # 212
Casselberry, FL 32707-4943
Phone
(689) 255-1075
NPI assigned
Jan 30, 2019
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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 Primary

Addresses

Primary practice location

212 State Road 436 # 212
Casselberry, FL 32707-4943

Mailing address

PO Box 5366
Winter Park, FL 32793-5366
Phone (954) 668-9535

Other identifiers 1

IdentifierTypeStateIssuer
107458000MedicaidFL

Other names 1

  • Ms. Nackyana C Morency Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL nmkabatherapy.com

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
Noble&Meaningfulkids ABA Therapy Behavior Analyst CurrentSince Sep 25, 2022 Accepting new patients
Vocational Development Group, LLC Behavior Analyst PastSince Dec 1, 2021 Accepting new patients
Vocational Development Group, LLC Behavior Analyst PastSince Dec 1, 2021 Accepting new patients

Locations

212 State Road 436
Casselberry, FL 32707
Phone (689) 255-1075

212 State Road 436
#212
Casselberry, FL 32707
Phone (689) 255-1075

1685 Lee Rd
Ste 210
Winter Park, FL 32789
Phone (407) 303-6648

Organizations & group practices 3

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": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1649734054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5366",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327935366",
            "telephone_number": "954-668-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 STATE ROAD 436 # 212",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327074943",
            "telephone_number": "689-255-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "NACKYANA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107458000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nmkabatherapy.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "1685 Lee Rd Ste 210",
            "city": "Winter Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327892235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NACKYANA",
            "last_name": "MORENCY",
            "middle_name": "C",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.