Amber Presa-Smalley

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1642 N Volusia Ave Ste 201
Orange City, FL 32763-3850

Phone

(386) 878-2400

NPI assigned

May 1, 2019

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

Other identifiers 1

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": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1699339002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 N VOLUSIA AVE STE 201",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327633850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 N VOLUSIA AVE STE 201",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327633850",
            "telephone_number": "386-878-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "823 Dunlawton Ave",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321274220",
            "country_code": "US",
            "telephone_number": "352-332-8588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRESA-SMALLEY",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pradeep Mathur, M.D., P.a.
• Diane Prado
• PRC Associates LLC
• Precision Home Care Agency Inc.
• Preferred Injury Physicians of Orange City
• Primary Care in Your Home LLC
• Primary Care of Oc LLC
• Primary Care of Orange City LLC
• Primary Care of Orange City LLC
• Gregory Wade Prince, ARNP, FNP-C

• Behavior Technician in Orange City, FL
• Providers in Orange City, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.