Amanda Ashley Bonavia

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SI5420 Issued in FL

Practice address

1607 NW Federal Hwy
Stuart, FL 34994-9600

Phone

(772) 291-1614

NPI assigned

Mar 20, 2023

Sex

Female

Sole proprietor

No

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": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1932801537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8928 CHAMPIONS WAY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863092",
            "telephone_number": "914-924-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 NW FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349949600",
            "telephone_number": "772-291-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAVIA",
        "first_name": "AMANDA",
        "middle_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI5420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cami Lea Bolerjack, RBT
• Erica Staci Boley
• Vijayalaxmi Bollu, M.D.
• Lucia Bonacchi
• Daryl Bonasera, PHARM. D.
• Amy Lynn Bond
• Noah Brantley Bond
• Summer L Bond
• Shon Bonhomme, RBT
• Anetra Bonner, LMHC

• Speech-Language Assistant in Stuart, FL
• Providers in Stuart, FL by specialty
• Speech-Language Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.

Verify at the official NPI Registry.