Active NPI
Andrew Palmisano Sr., BCBA
- Behavior Analyst
- Winter Park, FL
National Provider Identifier
1831599448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-17-25194
- Practice address
- 3087 Ash Park Loop
Winter Park, FL 32792-8133 - Phone
- (321) 262-1544
- NPI assigned
- Sep 2, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | |||
| Behavior Analyst | 103K00000X | 1-17-25194 | Primary |
Addresses
Primary practice location
3087 Ash Park Loop
Winter Park, FL 32792-8133
Mailing address
3087 Ash Park Loop
Winter Park, FL 32792-8133
Phone (321) 262-1544
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": "1409616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491782400000",
"number": "1831599448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3087 ASH PARK LOOP",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327928133",
"telephone_number": "321-262-1544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3087 ASH PARK LOOP",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327928133",
"telephone_number": "321-262-1544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMISANO",
"first_name": "ANDREW",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-02",
"last_updated": "2017-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-17-25194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.