Mrs Wanda Behavioral Consultant LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MRS WANDA BEHAVIORAL CONSULTANT LLC

Practice address

1109 Sandy Ridge Dr
Davenport, FL 33896-3037

Phone

(808) 445-8260

NPI assigned

Nov 25, 2022

Last updated

Nov 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wanda Soto, BCBANPI 1285180620

Title

Behavior Analyst

Phone

(808) 445-8260

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wanda Soto

  • Behavior Analyst
  • Tampa, FL
  • NPI 1285180620
  NPD Authorized official

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669334400000",
    "number": "1912617424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 SANDY RIDGE DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338963037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 SANDY RIDGE DR",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338963037",
            "telephone_number": "808-445-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRS WANDA BEHAVIORAL CONSULTANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-25",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "808-445-8260",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steffany Magnolia Morel Sandoval
• Angelica Sofia Moreno, MD
• Latoyia T Morrison
• Alain L Moulari
• Motaz Moussa, MD
• Multispecialty Health Network of Florida, LLC
• Aglay Munoz Acosta, RBT
• Maria T Muriente, MD
• Gerard J Murphy, MD
• Ivan G Murray, MD

• Behavior Analyst in Davenport, FL
• Providers in Davenport, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.