Natasha Shuntay Boges, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

17435 US Highway 441 Ste 101
Mount Dora, FL 32757-6750

Phone

(352) 434-0455

NPI assigned

Aug 6, 2015

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

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
  • Mount Dora, FL
  • NPI 1609309384
  NPD (past)
• Florida Autism Center

  • Behavior Analyst
  • Lake Mary, FL
  • NPI 1639320203
  NPD (past)
• Noble Therapy Center, LLC

  • Behavior Analyst
  • Longwood, FL
  • NPI 1528741071
  NPD (past)

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1669858221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL PKWY STE 200",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465028",
            "telephone_number": "866-610-0580",
            "fax_number": "866-610-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17435 US HIGHWAY 441 STE 101",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576750",
            "telephone_number": "352-434-0455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1708 Lexington Green Ln",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "FL",
            "postal_code": "327711018",
            "country_code": "US",
            "telephone_number": "407-413-9550",
            "fax_number": "866-610-0580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOGES",
        "first_name": "NATASHA",
        "middle_name": "SHUNTAY",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ajay Harendra Bisht, M.D.
• Janet L Black, DPM
• Sydni Black
• Katherine Yu Blackwell, LCSW
• Emerald Monique Blount
• Elizabeth Bolano
• Sylvia Boloczko, MD
• Kenneth J Bommarito, D.D.S.
• John Bonner, D.D.S.
• Erin N Booth

• All providers in Mount Dora, FL
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.