Ma Katrina Abutog-Manon, BCBA
Individual provider Active NPI Behavior Analyst · Plantation, FL
NPI 1821342015 · NPPES record last updated Jan 9, 2019
Key facts
- NPI
- 1821342015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-18-32932 (FL)
- Practice address
- 290 NW 69TH Ave Apt 169
Plantation, FL 33317-2322 - Phone
- (305) 720-8883
- NPI assigned
- Nov 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Undefined Non-Physician Type (Specify)
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
23312 SW 53Rd Ave
Apt B
Boca Raton, FL 33433-8604
6100 NW 31St Ter
Ft Lauderdale, FL 33309-2251
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-18-32932 | FL | Yes |
Addresses
Primary practice location
290 NW 69TH Ave Apt 169
Plantation, FL 33317-2322
Mailing address
290 NW 69TH Ave Apt 169
Plantation, FL 33317-2322
Phone (305) 720-8883
Other names
- Katrina Manon
Other providers in Plantation, FL
- Adi Rosa Abramovici
- Dorel Abramovici
- Aleece Abramsky
- Sylvie S Abramson
- Gabi Abratt
- Ronellie Joy Acaso
- Accident & Injury Wellness Center LLC
- Accu-Med Diagnostics Center II, LLC
- Accurate Health Care Inc
- Helen Penner Ackerman
All providers in Plantation, FL · Behavior Analyst in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.