Individual provider Active NPI

Andrea Mary Gollinger, BCBA, LBA

  • Behavior Analyst
  • Cocoa, FL
National Provider Identifier
1821708249
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
001879-01 Issued in NY
Practice address
1865 Friday Rd
Cocoa, FL 32926-3409
Phone
(321) 888-3020
Fax
(661) 263-4584
NPI assigned
Nov 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 001879-01 NY Primary

Addresses

Primary practice location

1865 Friday Rd
Cocoa, FL 32926-3409

Mailing address

1865 Friday Rd
Cocoa, FL 32926-3409
Phone (321) 888-3021

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
001879-01NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Endless Possibilities Therapy and Learning LLC Behavior Analyst CurrentSince Mar 1, 2025 Accepting new patients
Able Academics, LLC Behavior Analyst CurrentSince Oct 21, 2025 Accepting new patients

Locations

1865 Friday Rd
Cocoa, FL 32926
Phone (321) 888-3020

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": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1821708249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 FRIDAY RD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329263409",
            "telephone_number": "321-888-3021",
            "fax_number": "661-263-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 FRIDAY RD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329263409",
            "telephone_number": "321-888-3020",
            "fax_number": "661-263-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLINGER",
        "first_name": "ANDREA",
        "middle_name": "MARY",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "001879-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.