Individual provider Active NPI

Michaela C Elza

  • Behavior Analyst
  • Odessa, FL
National Provider Identifier
1699335794
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-24-75835 Issued in FL
Practice address
10507 Cyndee LN
Odessa, FL 33556-4801
Phone
(813) 361-6434
NPI assigned
Jun 19, 2019
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 0-22-14026 FL
Behavior Technician 106S00000X RBT-19-89973 FL
Behavior Analyst 103K00000X 1-24-75835 FL Primary

Addresses

Primary practice location

10507 Cyndee LN
Odessa, FL 33556-4801

Mailing address

10507 Cyndee LN
Odessa, FL 33556-4801
Phone (813) 361-6434

Other practice location 1

3211 E Paris St
Tampa, FL 33610-3652
Phone (813) 361-6434

Other practice location 2

14497 N Dale Mabry Hwy
Tampa, FL 33618-2047
Phone (813) 814-2000

Other practice location 3

18288 US-41 S
Lutz, FL 33549
Phone (813) 527-9638

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

State licenses

LicenseStateTypeSpecialty
RBT-19-89973FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Achieveability Therapy Services CurrentSince Jun 16, 2024 Accepting new patients
Achieveability Therapy Services Behavior Analyst CurrentSince Mar 19, 2023 Accepting new patients

Locations

18288 N US Highway 41
Lutz, FL 33549
Phone (813) 527-9638

Organizations & group practices 2

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": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1699335794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10507 CYNDEE LN",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335564801",
            "telephone_number": "813-361-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10507 CYNDEE LN",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335564801",
            "telephone_number": "813-361-6434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3211 E Paris St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336103652",
            "country_code": "US",
            "telephone_number": "813-361-6434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14497 N Dale Mabry Hwy",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336182047",
            "country_code": "US",
            "telephone_number": "813-814-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18288 US-41 S",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "33549",
            "country_code": "US",
            "telephone_number": "813-527-9638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELZA",
        "first_name": "MICHAELA",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-22-14026",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-89973",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-24-75835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.