Individual provider Active NPI

Kianna Vivianna Feliciano Mercado

  • Behavior Analyst
  • Orlando, FL
National Provider Identifier
1942926944
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-25-84287 Issued in FL
Practice address
13538 Village Park Dr Ste 145
Orlando, FL 32837-3600
Phone
(407) 460-1283
NPI assigned
Oct 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 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 1-25-84287 FL Primary

Addresses

Primary practice location

13538 Village Park Dr Ste 145
Orlando, FL 32837-3600

Mailing address

9290 Randal Park Blvd Unit 20130
Orlando, FL 32832-4946
Phone (407) 460-1283

Other identifiers 1

IdentifierTypeStateIssuer
114998600MedicaidFL

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": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1942926944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9290 RANDAL PARK BLVD UNIT 20130",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328324946",
            "telephone_number": "407-460-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13538 VILLAGE PARK DR STE 145",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328373600",
            "telephone_number": "407-460-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO MERCADO",
        "first_name": "KIANNA",
        "middle_name": "VIVIANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-25-84287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114998600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.