Lori Mamazza

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-219613 Issued in FL

Practice address

7555 Claxstrauss Dr
Sarasota, FL 34240-9699

Phone

(352) 314-3760

Fax

(352) 314-2909

NPI assigned

Jun 10, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1851021117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 SHILO RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342409124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 CLAXSTRAUSS DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342409699",
            "telephone_number": "352-314-3760",
            "fax_number": "352-314-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMAZZA",
        "first_name": "LORI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-22-219613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William F Malloy, M.D.
• Jennifer Malone, ANP-BC (CRNP)
• Michael Casey Maloney, O.D.
• Elizabeth Ann Maltais, CRNA
• Teresa Maltby, FNP
• Steven William Mamus, M.D.
• Mana Care Partners, PA
• Mana Health Partners PA
• Manasota Care Services LLC
• Manasota Cares LLC (Manasota Cares)

• Behavior Technician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.