Active NPI
Allison Roncal
- Behavior Technician
- Lake Mary, FL
National Provider Identifier
1821532433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 791 Rinehart Rd # 4876
Lake Mary, FL 32746-4876 - Phone
- (407) 413-9550
- NPI assigned
- Dec 16, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
791 Rinehart Rd # 4876
Lake Mary, FL 32746-4876
Mailing address
1002 Village LN
Winter Park, FL 32792-3416
Phone (561) 891-9971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104168900 | Medicaid | FL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570406400000",
"number": "1821532433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 VILLAGE LN",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327923416",
"telephone_number": "561-891-9971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "791 RINEHART RD # 4876",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327464876",
"telephone_number": "407-413-9550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONCAL",
"first_name": "ALLISON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-16",
"last_updated": "2019-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104168900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.