Active NPI
Cynthia Sue Condon
- Developmental Therapist
- Orlando, FL
National Provider Identifier
1821565151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 6900 Tavistock Lakes Blvd Ste 400
Orlando, FL 32827-7593 - Phone
- (808) 741-4546
- NPI assigned
- Oct 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-69004 | HI | |
| Developmental Therapist | 222Q00000X | FL | Primary |
Addresses
Primary practice location
6900 Tavistock Lakes Blvd Ste 400
Orlando, FL 32827-7593
Mailing address
6900 Tavistock Lakes Blvd Ste 400
Orlando, FL 32827-7593
Phone (808) 741-4546
Other practice location 1
92-461 Makakilo Dr
Kapolei, HI 96707
Phone (808) 599-9650
Other practice location 2
94-849 Lumiaina St Unit 201
Waipahu, HI 96797-5677
Phone (855) 223-7123
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-69004 | HI | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1821565151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 TAVISTOCK LAKES BLVD STE 400",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277593",
"telephone_number": "808-741-4546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 TAVISTOCK LAKES BLVD STE 400",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277593",
"telephone_number": "808-741-4546"
}
],
"practiceLocations": [
{
"address_1": "92-461 Makakilo Dr",
"address_purpose": "LOCATION",
"city": "Kapolei",
"state": "HI",
"postal_code": "96707",
"country_code": "US",
"telephone_number": "808-599-9650",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "94-849 Lumiaina St Unit 201",
"address_purpose": "LOCATION",
"city": "Waipahu",
"state": "HI",
"postal_code": "967975677",
"country_code": "US",
"telephone_number": "855-223-7123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONDON",
"first_name": "CYNTHIA",
"middle_name": "SUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-24",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "HI",
"license": "RBT-18-69004",
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.